NUR 600 Assignment 9.1: Iatrogenic Hymenal Case Study Write-Up

Sample Answer for NUR 600 Assignment 9.1: Iatrogenic Hymenal Case Study Write-Up

Six-year-old female with sporadic vaginal bleeding. Tender hymen opening with traces of blood. Erythematous external genitalia with anal tears. Cervix parous and pink, with “scant white discharge”. No injuries, urinary tract symptoms, or insertion of any item or genital touches by oneself or others. No foreign bodies were noted. Midline uterus; no adnexal masses. No masses in the rectal vault. Urinalysis reveals negative urine culture (Spencer, 2005).

References

Spencer, M. J. (2005). Iatrogenic Hymenal Injury. Advanced Emergency Nursing Journal, 27(1), 87–89. https://journals.lww.com/aenjournal/Citation/2005/01000/Iatrogenic_Hymenal_Injury.11.aspx

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Musculoskeletal and Neurological Write-Up 

Both the joints in the upper and lower extremities have a full range of motion. There is no evidence of edema or deformity. Gait and station are normal. There is no misalignment, crepitation, defects, asymmetry, pain, instability, masses, effusions, atrophy, or aberrant tone or strength in the head, spine, neck, pelvis, ribs, or extremities. Neurologically, CN 2-12 are normal. Proprioception, touch, and pain are all normal. DTRs are normal in both the upper and lower limbs. There are no extreme reflexes. No prior spinal cord injuries or injuries to other spinal cord regions  (Bickley, 2020). 

References 

Bickley, L. S. (2020). Bates’ Guide to Physical Examination and History Taking. Wolters Kluwer Health.