Nama : Sofie Ayu Tri Fanny

Nim : 181030100301

Kelas : 5 I keperawatan

THRESIA WAS ADMITTED WITH AN ACUTE PELVIC

INFLAMMATORY DISEASE

          Theresia was admitted to the gynecological ward at 2 a.m. She had been feeling unwell
and had experienced lower abdominal pain for several days, but on this day the pain had become
gradually worse until by 11 p.m. she was in severe pain and very frightened. Christ, her husband,
persuaded her that they should telephone their G.P and he came to see her at half past midnight.
He took Theresia’s temperature which was raised, and discussed her symptoms with her, and
then thought she ought to go to hospital to be observed and examined.

          Theresia was upset, but as the pain was still severe and she was very worried, she agreed
to go. Christ quickly gathered together some of the things that she might need in hospital, while
the G.P organized an ambulance and talked to the doctor on duty at the hospital.

          In the darkened quiet ward, the night nurse receives the message that a patient is coming in
with severe lower abdominal pain. She goes quickly to single empty room and prepares it,
collecting equipment that may be needed so that there will be delay or unnecessary noise when
the patient arrives. The night nurse realizes that the symptom of lower abdominal pain without
any other information could mean a variety of conditions.

          The doctor arrives and Christ is asked to sit in the waiting room while his wife is
examined.

          When the doctor has completed taking a history and doing a physical examination, he
diagnoses Thresia’s pain as the result of an acute pelvic inflammatory disease. The senior doctor
on duty will be asked to confirm this diagnosis.

I.     ANSWER THE FOLLOWING QUESTIONS

1.      Was Theresia feverish?

Answer : Yes, She was

2.      Did she have a stomachache?

Answer : Yes, she did. She had experienced lower abdominal pain for several days
3.      Who suggested to her to go to hospital?

Answer : Christ, and her husband, suggested to her go to hospital. And persuaded
her that they should telephone their G.P

4.      Has the diagnosis of her abdominal pain been confirmed?

Answer : Yes,The senior doctor on duty will be asked to confirm this diagnosis

5.      What does the nurse receive in the darkened quite ward?

Answer : In the darkened quiet ward, the night nurse receives the message that a
patient is coming in with severe lower abdominal pain.

6.      Why does the nurse go quickly and prepare it?

Answer : Because,, the nurse does to collecting equipment that may be needed so
that there will be delay or unnecessary noise when the patient arrives.

7.      What will happen if the symptom of lower abdominal pain without any other information.?

Answer : The night nurse realizes that the symptom of lower abdominal pain
without any other information could mean a variety of conditions.

8.      When does the doctor diagnose Thresia’s pain?

Answer : When the doctor has completed taking a history and doing a physical
examinationhe diagnoses Thresia’s pain as the result of an acute pelvic
inflammatory disease

Replace the words in brackets with a more medical term. Choose from the following!

  accelerate   consequences     continous    bind    buffer   derive    disequilibrium

        excite        fluctuate        inhibit        intermittent         maintains    metabolism

  overproduction   regulator         secreted           stimulate       underproduction

 

1.      The endoctrine system operated by system of hormones, which are (produced) secreted
into the blood system.

2.      Hormones either (increase) excite or (slow) inhibit the activity of specific cells.

3.      Many hormones (join) buffer to carry protein and this has a (protective) bind affects
against sudden changes.
4.      Hormone levels generally (go up and down) Fluctuate but within limits. The production of
thyroxine is (all the time) continous while the production of other hormones is (from time to
time) intermittent

5.      Any (imbalance) Disequilibrium in the endoctrine system can have important (result)
consequences Problems in the endoctrine system usually involve (making too much)
overpeoduction or (making too little) underproduction.

6.      Growth hormone is important in children to (encourage) Stimulate growth.

7.      The adrenal glands (get) Derive some of their blood supply from the renal artery.

8.      Calcitonin and parathormone (keeps) maintains plasma calcium within normal limits.

9.      Aldosterone is the most important (controller) Regulator of sodium and potassium.

Thyroxine (speed up) Accelerate the release of energy in the tissue.