You must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer the questions in both case studies (Cervical Cancer and Glomerulonephritis) on the same document and upload 1 document to Moodle. Case Study 5 & 6 Glomerulonephritis and Cervical Cancer Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) Turn it in Score must be less than 20% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 20%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement. Case 5 Cervical Cancer The patient, a 28-year-old woman, has been sexually active with multiple partners since she was 14 years old. She is now married and wants to have children. She has intermittent breakouts of vulvar ulcers/sores but no other complaints. Her pelvic examination during a routine visit with her gynecologist was normal. She had a lump in her left breast. Studies Results Sexually transmitted infections (STIs), p. 756 Herpes simplex test, p. 731 Positive for herpes simplex virus-2 (HSV-2) (normal: negative) No change in serology 4 weeks later Cytomegalovirus, p. 200 No antibodies detected Chlamydia, p. 722 No antibodies detected Gonorrhea, p. 761 Culture negative Syphilis serology, p. 473 No antibodies detected Pap smear, p. 743 Adequacy of specimen Adequate Category Epithelial abnormality Epithelial cell abnormalities Squamous, atypical cells Human papillomavirus (HPV) testing, p. 745 Positive for HPV 16 Breast sonogram, p. 871 Benign fibroadenoma Diagnostic Analysis The patient was informed of her test results. Her herpes titers indicated that the disease was rather chronic, not acute. No treatment was recommended. Because of her age, mammograms were contraindicated. A breast ultrasound indicated the lesion was not cancerous. A fibroadenoma is common in this age-group. Because of her positive HPV results and suspicious Pap smear, further evaluation was recommended. Studies Results Colposcopy, p. 595 Several suspicious areas Biopsy Squamous cell carcinoma Cervical cone biopsy, p. 720 Invasive squamous cell carcinoma Hysteroscopy, p. 614 No extension to the endocervical canal or uterus Pelvic ultrasound, p. 887 No extension of tumor beyond the cervix The patient was advised to have a radical hysterectomy. She refused because she wanted to have a family. She began psychologic counseling for guilt over her past promiscuity, which had increased her risk for cervical cancer. She became pregnant 1 year later and lost the pregnancy during the second trimester. One year later, she developed a large pelvic mass, which represented progressive, inoperable cervical cancer. Despite radiation therapy and chemotherapy, she died at age 31 of cervical cancer.