Posted: September 4th, 2023

Part 1: Neurological

This discussion contains 2 parts:

Part 1: Neurological

List the risk factors for cerebrovascular accidents and why?
What cultures are at higher risk and why?
Describe the 0 to 4+ scale for scoring deep tendon reflexes.
What would you expect to find in a patient with diabetic peripheral neuropathy?
Share any experience you have encountered and elaborate.
Part 2: Genitalia

Identify and explain positions other than the lithotomy in which a pelvic examination can be performed.
Why are women at a higher risk of UTI than males?
What would you educate to decrease the risk of UTI?
Summarize the pros and cons of newborn circumcision.
Describe the following signs on a female examination:
Chadwick
Goodell
Name the characteristics of the following type of hernias:
Indirect inguinal
Direct inguinal
500 words, formatted and cited in proper current APA style with support from at least 2 academic sources.

_______________________

Part 1: Neurological

Risk factors for cerebrovascular accidents (CVA) or strokes include:

Hypertension (high blood pressure)
Diabetes
High cholesterol
Smoking
Obesity
Sedentary lifestyle
Family history of stroke
Age (risk increases with age)
Gender (men have a slightly higher risk)
Ethnicity (some populations, such as African Americans, have a higher risk)
Cultures at higher risk of cerebrovascular accidents:

There is no specific cultural group that is universally at higher risk. However, certain ethnicities may have a higher prevalence of certain risk factors, such as hypertension or diabetes, which can contribute to an increased risk of stroke.
The 0 to 4+ scale for scoring deep tendon reflexes:

0: No response
1+: Diminished response
2+: Normal response
3+: Increased response
4+: Hyperactive response with clonus (repetitive, rhythmic contractions)
Signs of diabetic peripheral neuropathy:

Numbness or tingling in the extremities, typically starting in the toes or feet
Loss of sensation or abnormal sensations
Burning or shooting pains
Muscle weakness or difficulty walking
Poor coordination and balance
Foot problems (ulcers, infections) due to loss of sensation and impaired wound healing
Personal experiences cannot be provided by an AI model, as I don’t have real-life experiences.

Part 2: Genitalia

Positions for pelvic examination other than lithotomy:

Sims position: Lying on the left side with the right knee flexed toward the chest
Knee-chest position: Kneeling with the buttocks elevated, chest and head resting on the bed
Standing position: Standing with one foot on a stool, allowing the provider to visualize and examine the external genitalia
Women are at a higher risk of urinary tract infections (UTIs) than males due to:

Shorter urethra: The female urethra is shorter, allowing bacteria to travel to the bladder more easily.
Proximity to anus: The urethra is closer to the anus in females, increasing the risk of bacterial contamination from the gastrointestinal tract.
Sexual activity: Sexual intercourse can introduce bacteria into the urethra, leading to infection.
Tips to decrease the risk of UTI:

Drink plenty of water to promote urine flow and flush out bacteria.
Urinate before and after sexual intercourse to help eliminate bacteria.
Wipe from front to back after using the toilet to prevent the spread of bacteria from the anus to the urethra.
Avoid using irritating feminine hygiene products or douches.
Wear breathable cotton underwear and avoid tight-fitting clothing.
Pros and cons of newborn circumcision:
Pros:

Potential reduction in urinary tract infections.
Lower risk of sexually transmitted infections, including HIV.
Easier genital hygiene.
Cons:
Pain and potential complications related to the procedure.
Risk of infection or bleeding.

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