2-page case study analysis
Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.
Labs: CBC-WBC 18, Hgb 16, HCT 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP within normal limit
Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2
99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with a reddened cervix and bilateral adnexal tenderness. chandelier sign. Wet prep in ER clue cells and gram stain in ER gram-negative diplococci.
In your Case Study Analysis related to the scenario provided, explain the following:

The factors that affect fertility (STDs).
Why inflammatory markers rise in STD/PID.

As for all the case studies please focus on the following elements:
A detailed explanation of the pathophysiology
Clinical manifestations due to the pathophysiology
Genetic/ethnic considerations
Use research, current sources less than 5 years, and analysis to support your answers
rubric attached