Nama: Riana sipahelut

Nim: 181030100210
Kelas : 5F Keperawatan

THERESIA 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? Theresia was admitted to the gynecological ward at 2 a.m.
2. Did she have a stomachache? Yes, she did
3. Who suggested to her to go to hospital? Christ, her husband
4. Has the diagnosis of her abdominal pain been confirmed? The senior doctor on duty will be
asked to confirm this diagnosis.
5. What does the nurse receive in the darkened quite ward? 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? 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.
7. What will happen if the symptom of lower abdominal pain without any other information. 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? 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.

II. VOCABULARY
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) stimulate or (slow) fluctuate the activity of specific cells.

3. Many hormones (join) bind to carry protein and this has a (protective) inhibit affects against
sudden changes.

4. Hormone levels generally (go up and down) consequences but within limits. The production of
thyroxine is (all the time) intermittent while the production of other hormones is (from time to time)
continous

5. Any (imbalance) disequilibrium in the endoctrine system can have important (result) metabolism.
Problems in the endoctrine system usually involve (making too much) overproduction or (making too
little) underproduction

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