Group 25: Case 2 "I want to go on the pill!"
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Rescooped by MeghanDoherty from Case 2 : "I want to go on the pill!!

Introduction to Female Reproductive Anatomy - 3D Anatomy Tutorial - YouTube 3D anatomy tutorial on the basics of the female reproductive system, using the BioDigital Human ( ...

Via Cardiff University School of Medicine
Ella Burgin's curator insight, January 27, 2014 9:03 AM

This is pretty good!

Sarah Morgan's curator insight, January 28, 2014 5:24 AM

Just stealing stuff from the main Case 2 page. Saves us time looking for it ourselves.

Ben Nankervis's curator insight, January 29, 2014 8:13 AM

I found this quite clear :)

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Session 1 Learning Outcomes

MeghanDoherty's insight:


1. Ethical Issues


GMC guidelines on capacity/consentConfidentiality and public heathChild protection issuesIs her relationship consensual?Domestic violenceConscientious objection


 2. Pharmacology


Contraception (Week 1)

Types of contraception and their Mechanism of ActionEmergency contraception


STI/UTI Treatment (Week 2)


3. Anatomy


Male and female reproductive systemsUrinary systemPelvisMicroanatomy (how the ovaries change over the cycle)


4. Physiology


Menstrual cycleHormones involvedSex organs – ovaries/testes/uterus/breasts/penisPubertyChanges in external appearance with ageRecognise the normal/abnormal


5.Pathology (Week 2)


Causes of Pelvic Inflammatory DiseasesCauses of STIsCauses of UTIsCauses of irregular periodsDifferential diagnosis of lower abdominal pain and pain on urination

6. History and Examination


Learn how to take a focused history on sexual healthLearn how to carry out a pelvic examinationLearn how to carry out urinalysis test


7. NHS Policy on provision of sexual health care

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Case Scenario Week 1

Case Scenario

MeghanDoherty's insight:

Case 2: Ellen Waters


Ellen Waters is a 16-year-old girl who has attended the young peoples integrated sexual

health clinic wanting some advice. You are observing in the nurse led clinic and witness the

following interaction.


Nurse: “Welcome to the young people’s sexual health clinic. How can I help you?”


Ellen “I want to go on the pill. I’m really serious about my boyfriend.”


Nurse: “We can certainly talk about contraception, there are lots of different options we can

explore to help you find the best option for you. First I need to know a little bit more about

you. Do you have any other problems at the moment?”


Ellen: “My periods are all over the place.”


Nurse: “Is there anything else?”


Ellen: “It hurts when I wee and here (points to lower abdomen) for the last week.”


Nurse: “OK. I need to ask you a few other questions. Then I need to examine you”.


















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Rescooped by MeghanDoherty from Case 2 : "I want to go on the pill!!

Contraception - Contraception guide - NHS Choices

Contraception - Contraception guide - NHS Choices | Group 25: Case 2 "I want to go on the pill!" |
Find out about the 15 methods of contraception (to prevent pregnancy) available on the NHS, plus where to get them and how to decide which method suits you. Including emergency contraception (the morning after pill, and IUD).

Via Cardiff University School of Medicine
Cardiff University School of Medicine's curator insight, January 26, 2014 7:32 PM

Info from NHS Choices on forms of contraception. Wriiten for patients. 

Sarah Morgan's curator insight, January 28, 2014 5:25 AM

Again, stolen from the main Case 2 page. It seems quite comprehensive; and hopefully being from the NHS website - reliable.

Cardiff University School of Medicine's comment, January 30, 2014 8:10 PM
not exactly 'stolen' :)
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Session 1 Notes



MeghanDoherty's insight:

Integrated sexual health clinic

Differences across the UK

Provision of services across the UK



Ellen is 16 (drop in clinic – how can you check her age)

Nurse is looking to establish if she has capacity

Possibility for criminal activity?

If she is not 16, how can you protect Ellen?

Sexual exploitation



Different types

Which is the best for Ellen?

Advice about STIs

Make sure she is fully informed about contraception

Not 100% effective

Drugs and substances that she cannot take alongside contraception


Find out why she wants to go on the pill

Ask about her boyfriend: age, their relationship…


Physiology of menstrual cycle revision

Pathophysiology of menstrual cycle


Anatomy and Physiology of male and female reproductive systems


Physiology of puberty (normal and abnormal)


Potential for UTI/STI



Lower abdominal pain

Bladder/kidney/ovaries/rectum/uterus/fallopian tubes/cervix/vagina


Gender of nurse?

History taking/examination

Is a chaperone is needed?


Possible causes





Viral disease (HPV)



Is she pregnant? Ectopic pregnancy


Has Ellen come alone or with a parent/boyfriend

If she has capacity, how does confidentiality bear upon this scenario?

Has she discussed this with her parents?

Does she need extra support/someone to talk to about her problems


How does confidentiality relate to STIs – look at GMC website

Does she need to discuss with her boyfriend? Protect his health and prevent further spread of infection

Get Ellens informed consent to inform boyfriend or encourage Ellen to inform boyfriend herself

Public health issue needs to be considered – when can/cannot break confidentiality


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