Grand Rounds Presentation

Grand Rounds Presentation

Grand Rounds Presentation


Grand Rounds Presentation Sample Section

Differential Diagnoses

  1. Uterine Myoma (Fibroids) (D25.9)-Uterine fibroids are the most common benign uterine tumors affecting women in their reproductive years. They are monoclonal tumors of the uterine smooth muscle cells and consist of large amounts of extracellular matrix that contain collagen, fibronectin, and proteoglycan. While the pathogenesis is unclear, there is substantial evidence that estrogens and progestogens proliferate tumor growth. It is thought there is also a relationship between, age and race, early menarche, and caffeine intake and fibroids. Presenting symptoms of fibroids may include abnormal uterine bleeding, pelvic pressure, pain and urinary incontinence or retention (Khan, Shehmar, & Gupta, 2014).

Dysmenorrhea (N94.6)-Dysmenorrhea is defined as painful cramps that occur with menstruation.  It is the most common gynecological problem in women of all ages and races and one of the most common causes of pelvic pain. Dysmenorrhea is considered primary in the absence of underlying pathology and secondary with results from specific pelvic pathology. It is caused by elevated prostaglandin production through indirect hormonal control, causing hyper contractility and increased uterine muscle tone with vasoconstriction. Presenting symptoms may include menorrhagia, intermenstrual bleeding, dyspareunia, post-coital bleeding and infertility (Osayande & Mehulic, 2014).

Endometriosis (N80.9)-Endometriosis is defined as the presence of endometrial glandular and/or stromal cells outside of the uterine cavity. The most widely accepted theory of endometriosis etiology is that refluxed menstrual tissue enters the pelvic peritoneal cavity and embeds into other intra-abdominal areas. Endometriosis often occurs in women with outflow obstruction, such as cervical stenosis, a transverse vaginal septum, and an imperforate hymen. Early menarche and late menopause, which lead to increased exposure to menstruation, are commonly cited risk factors for endometriosis. Presenting symptoms are highly variable, ranging from debilitating pelvic pain and infertility to no symptoms (Schrager, Fallerone, & Edgoose, 2013).

Assignment Policies



Please read all of the information about the assignments below:


The assignments are to be done in Microsoft Word with Times New Roman 12- point font. Each assignment should use the modified APA 6th edition format. The assignment templates are set up in this modified format. The reference page should be in the APA format for every reference. The word requirement for the assignments are specifically stated in the guidelines of the assignment. The word count is from the first word of the introductory paragraph to the last word of the conclusion paragraph. FYI.


1- There should be a cited reference for each section of a paper as there are conclusion statements in each section (to meet the grading criteria) so the conclusion should be supported by a reference as the assignments are evidence-based research, clinical papers.

2- Word Count- The word count is done from the first word of the introductory paragraph to the last word of the conclusion. The word count must be within the minimum and maximum word limit stated in the assignment instructions. A 10% – point reduction will be made in the total points for the assignment.

Week 1 and 5 assignments should have SIX studies. Week 5 assignment is a compilation of sections from the week 1, 2 & 3 assignments.

Weeks 2 and 3 need to have at least THREE studies in the form of research studies. Please make sure that you look at the instructions for the assignment as well as the grading rubric. I have also provided templates for ALL assignments. It is in your best interest to use these as it will guide you so that you do not make common formatting errors.


Please utilize the resources in the STUDENT SUCCESS CENTER if you have difficulty with APA 6th Edition format, grammar, sentence structure, punctuation or tense structure.


Always submit the assignment in the drop box for that assignment. I cannot accept any assignment as an attachment to an email sent to my college email. Attaching it to a posting to the Questions to Instructor Forum or the Individual Forum is also not accepted.

I cannot grade any assignment unless it is placed into the drop box by the student per university policy.

Turn-It-In / Lopes Write

This is to be used for the assignments for these three weeks (2, 3 & 5) and it is NOT required for Week 1. All assignments will be placed through Turn It In first and then submitted in the drop box on the course shell. No assignments will be accepted as attachments to emails as this is not the university policy.

Grading Rubric-

The rubric for each assignment is found in the upper right- hand corner of the assignment page under the Forum Tab. Compare the requirements of the rubric with your paper prior to submission into the drop box so you will receive full credit for all graded criteria of the paper.

Late Assignment-

Any assignment that is late will have 10% deducted each day it is late. This is a 5- week class. It is imperative that you ask for help if you are having difficulty with an assignment.

You need to contact me as soon as possible if an assignment will be late prior to the submission deadline.