J.C., a 23-year-old male naval officer recently stationed in the Philippines, complains of dysuria, meatal pain, and a profuse yellow urethral discharge for 2 days. He admits to extramarital sex with a prostitute over the past week. He states that his wife, B.C is 8 weeks pregnant, but she is asymptomatic. Intracellular Gram-negative diplococci were seen on the Gram's stain of J.C.'s urethral exudates. J.C tells you that if this is a sexually transmitted disease then he does not want the wife to know about this diagnosis and the extramarital affair. Use the questions below to formulate your answers, reflect and solve the health issue and ethical dilemma. 1. 1. What are your differential diagnoses? What is the primary diagnosis? 2. 2. What is the CDC's drug of choice for treating this condition and what are some alternates? 3. 2. What additional therapy should be included and why? 4. 3.Why has CDC removed amoxicillin and procaine penicillin from their recommended drugs? 5. 4.J.C. tells you that he does not want the wife to know about this diagnosis; what is the best answer to this request? 6. 4. Should B.C. (J.C.'s pregnant wife) be treated? If so, with what? 7. 6. Is this a reportable disease to public health? If so, how best can you report this? ASSIGNMENT DETAILS Case Study Outline and Rubric A case study will be presented for the student to resolve. The case will require the student to reflect and solve a complex acute health issue that incorporates a cultural or ethical dilemma requiring cultural competence, ethical decision making, legal awareness, and patient-centered evidence-based practice. Students will be given a population and clinical course appropriate case study to complete in a minimum of 5 pages and a maximum of 7 pages not including reference and title pages. Criteria Possible points Points awarded List 3 differential Dx for the health issue 10 Discuss the pathophysiology of the most likely health issue presented. 20 Present the cultural, ethical, and/or legal issue(s) and how it may conflict with the patient care/health promotion 15 Provide patient-centered pharmacological and/or non-pharm solutions to the health issue 20 Provide a comprehensive list of additional health services available and may be needed 15 Reflect on how the cultural or ethical issue mirrors/contradicts your own beliefs and how this may impact your care as a provider 10 Spelling, grammar, complete and correctly formatted references 10 Total Possible Points 100