Present a Case Study relating to a body system. Complete the case study addressing the topic and present findings.
The topic for the case study is:
Repro: Testicular cancer
The case study should address the following:
A brief overview of the pathophysiology of the disease process
The following as related to the case:
Risk factors
Lab studies
Treatments
Medications
Specific nursing interventions
Specific discussion questions related to the case study
Testicular cancer
Case study on testicular cancer:
Patient: Mr. John Smith, a 35-year-old male
Chief Complaint: A painless lump in his right testicle
History of Present Illness: Mr. Smith presents to his primary care physician with a 1-month history of a painless lump in his right testicle. He reports that the lump has been slowly growing in size. He has no other medical problems.
Past Medical History: None
Social History: Mr. Smith is a married, white male who works as a software engineer. He does not smoke or drink alcohol.
Physical Examination:
- Vital signs: BP 120/80 mmHg, HR 70 bpm, RR 16 bpm, SpO2 98% on room air
- General: Well-developed, well-nourished male in no acute distress
- HEENT: Pupils equal, round, and reactive to light; Sclerae anicteric
- Neck: No jugular venous distension
- Lungs: Clear to auscultation
- Heart: Regular rate and rhythm, no murmurs, rubs, or gallops
- Abdomen: Soft, non-tender, non-distended; positive bowel sounds
- Genitalia: Right testicle is enlarged and non-tender; left testicle is normal
- Complete blood count: Within normal limits
- Blood chemistry: Within normal limits
- Tumor markers: Alpha-fetoprotein (AFP) elevated
- Testicular ultrasound: Right testicle shows a solid mass
- Surgery: Orchiectomy
- Chemotherapy: Carboplatin and etoposide
- Radiation therapy: Adjuvant radiation therapy
- Monitor patient for side effects of surgery, chemotherapy, and radiation therapy
- Provide emotional support
- Educate patient about testicular cancer and its treatment
- What are the risk factors for testicular cancer?
- What are the laboratory and diagnostic findings that are consistent with testicular cancer?
- What are the medications that are commonly used to treat testicular cancer?
- What are the lifestyle modifications that can help to reduce the risk of complications from testicular cancer?
- What are the nursing interventions that are important for the care of a patient with testicular cancer?
- Testicular cancer is the most common cancer in men between the ages of 15 and 35.
- The exact cause of testicular cancer is unknown, but it is thought to be a combination of genetic and environmental factors.
- Symptoms of testicular cancer can include a painless lump in the testicle, pain in the testicle, swelling of the testicle, and a feeling of heaviness in the scrotum.
- There is a cure for testicular cancer if it is caught early.