NUR 634 Topic 11 DQ 1

Discussion: Select one female or male genitourinary, anus/rectum, or female breast condition or disorder.

NUR 634 Topic 11 DQ 1 Assessment Description

Select one female or male genitourinary, anus/rectum, or female breast condition or disorder

Then complete the following:

Briefly discuss the condition/disorder.

Describe the symptoms and physical exam findings associated with the condition/disorder.

Identify appropriate laboratory, imaging, and other diagnostic/screening tools that apply to the disorder and explain how they will help you with your diagnosis.

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List two other conditions that could cause a similar presentation (differential diagnoses) and explain how you would “rule out” those differentials. NUR 634 Topic 11 DQ 1

Support your description with a minimum of two APRN-approved scholarly resources. You may not select a condition or disorder that has already been profiled by another learner; you must select a different one.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 1.2, 1.3.

NUR 634 Topic 11 DQ 1 Sample

Uterine leiomyoma, commonly referred to as fibroids, is a common gynecological condition affecting women in their reproductive age. Uterine leiomyomas are benign monoclonal smooth muscle tumors with a low risk of malignant change. They can either be submucosal, intramural, parasitic, pedunculated, or cervical, depending on their location. Nulliparity, hyper-estrogenic state, age above 35 years, family history, and black race are the common risk factors associated with the development of uterine leiomyoma.

Patients with uterine leiomyoma often present with abnormal uterine bleeding characterized by menorrhagia, polymenorrhagia, and metrorrhagia. NUR 634 Topic 11 DQ 1 Additionally, the patients may also have dysmenorrhea, constant dull abdominal-pelvic pain and pressure, urinary obstruction, and constipation. Symptoms of anemia such as headaches, dizziness, palpitations, dyspnea, and fatigue may also be present. Additionally, pregnant patients may also experience pregnancy losses, antepartum hemorrhage, fetal malpresentation, placental previa, and a higher risk of cesarean delivery. Common physical exam findings include pallor and features of iron deficiency anemia such as koilonychia and angular cheilitis. Patients may also have a weak and rapid pulse and have tachypnea. A pelvic examination may reveal an enlarged, asymmetric, and boggy uterus on examination, while a bimanual examination reveals the presence of pelvic mass.

Crucial laboratory tests for patients with leiomyoma include complete blood counts to check red blood cell count and hemoglobin to detect and grade anemia. NUR 634 Topic 11 DQ 1 Additionally, a transvaginal ultrasound can diagnose benign tumors and localize their location within the uterus. A pelvic magnetic resonant image (MRI) can also provide enhanced detail of the location of the leiomyomas, especially before a myomectomy. In addition, a biopsy of the mass is also crucial as a definite diagnosis of the tumor. Adenomyosis and leiomyosarcoma are two conditions that can present similar to leiomyoma. An ultrasound can help differentiate adenomyosis from leiomyomas, while a biopsy can differentiate a leiomyoma from a leiomyosarcoma.

NUR 634 Topic 11 DQ 1 References

Ahmad, A., Kumar, M., Bhoi, N. R., Badruddeen, Akhtar, J., Khan, M. I., Ajmal, M., & Ahmad, M. (2023). Diagnosis and management of uterine fibroids: current trends and future strategies. Journal of Basic and Clinical Physiology and Pharmacology, 34(3), 291–310. https://doi.org/10.1515/jbcpp-2022-0219

Choudhary, A., Inamdar, S. A., & Sharma, U. (2023). Pregnancy With Uterine Fibroids: Obstetric Outcome at a Tertiary Care Hospital of Central India. Cureus, 15(2). https://doi.org/10.7759/cureus.35513

Evans, J. (2024). The impact of health literacy on uterine fibroid awareness, diagnosis, and treatment in the United States: A mini literature review. Frontiers in Reproductive Health, 6, 1335412. https://doi.org/10.3389/frph.2024.1335412