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Sexually Transmitted Infection

Sexually Transmitted Infection

Sample Answer 

Sexually Transmitted Infection

Would You Perform a Pelvic Exam And/Or a Pap Smear?

A pelvic exam will be done to determine the pain areas of the patient. A pap smear will be done because STIs often increase a person’s susceptibility to HPV and other types of cancers (Park, Introcaso, & Dunne, 2015).

What Is Your Diagnosis (Assessment)?

According to Rein (2020), trichomoniasis is a common sexually transmitted infection (STI). The most common symptoms women experience include pain during sexual intercourse or urination; a frequent urge to urinate; genital swelling or redness; genital itching or burning; and vaginal bleeding or spotting.

What Is Your Plan, Including Treatment and Education?

Trichomoniasis can be treated effectively with antibiotics. The patient will be prescribed with tinidazole (Tindamax) or metronidazole (Flagyl). The patient will be advised to avoid alcohol for the first 24 or 72 hours after taking metronidazole or tinidazole, respectively. Taking alcohol before the stipulated time will cause the patient to be severely nauseated and vomit. The patient will also need to avoid any sexual contact with all her partners for a period of seven days after her treatment and that of her partners (Kissinger, 2015).

Would You Prescribe Treatment for Her Partner(s)?

The patient’s partners need to be tested and treated with similar medication as hers. Her partners may not exhibit any symptoms, but they will still need to be examined as sometimes symptoms may not manifest in some people (Kissinger, 2015).

What Contraceptive Care/Counseling Would You Offer Geri?

Trichomoniasis can only be fully prevented through sexual abstinence. However, the patient can wait until the infection clears from her body before becoming sexually active again. She will need to have her partners use latex condoms during sexual intercourse to avoid re-infection (Kissinger, 2015).

List 2 Community Resources in Your Area That You Could Utilize.

UAB Substance Abuse Program, 401 Beacon Parkway West, Birmingham, AL 35209, and  JSDH Central Health Center, Birmingham, AL-35233, which offers clinics on sexual diseases, among others.

References

Kissinger, P. (2015). Epidemiology and treatment of trichomoniasis. Current infectious disease reports17(6), 31.

Park, I. U., Introcaso, C., & Dunne, E. F. (2015). Human papillomavirus and genital warts: a review of the evidence for the 2015 centers for disease control and prevention sexually transmitted diseases treatment guidelines. Clinical Infectious Diseases61(suppl_8), S849-S855.

Rein, M. F. (2020). Trichomoniasis. In Hunter’s tropical medicine and emerging infectious diseases (pp. 731-733). Content Repository Only!.

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Question 


Sexually Transmitted Infection

Discussion Topic 5 (Sexually Transmitted Infection)

***The initial discussion response should be in the range of 250-300 words. All questions in the topic must be addressed. All discussions need to be supported by a minimum of two scholarly resource. Journals and websites must be cited appropriately (Citation and reference must adhere to APA format). All components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Case Study:

Geri is a 18-year-old high school student in your clinic today because of vaginal discharge. You have seen Geri three times this past year for the same complaint and have diagnosed chlamydial cervicitis two of the three times. The other time Geri had bacterial vaginosis.

Chief Complaint: “Lots of yellow vaginal discharge”

Sexually Transmitted Infection

Sexually Transmitted Infection

HPI: yellow discharge X3 weeks with odor especially after sex; started burning with urination 2 days ago; denies vaginal/vulvar sores or irritation; says has noticed some itching on the outside.

PMH: allergy to PCN and sulfa; OCP’s x 2 years for birth control; no other meds

OB/GYN: no pregnancies, LMP 1 week ago; Paps UTD and WNL; Hx chlamydia cervicitis treated with doxycycline.

FH: Mother with HTN (smoker)

SH: Lives with mother and sister (parents divorced); currently in apartment with mother’s sister and her boyfriend because her mother is out of work; smokes 1/2 ppd x 2 years; 4-6 beers every week-end; marijuana every week-end; denies other recreational drugs; junior in high school and works at Hardees.

Exam:

Abdomen soft non tender

inguinal lymph without adenopathy

perineum normal hair distribution; no lesion or discharge

vagina rugated, slightly erythematous, large amount yellow green discharge; no lesion

cervix; nullip, erythematous; no exudate at os, mobile, slightly tender, with palpation

uterus firm, mobile, non-tender

adnexae without palpable mass or tenderness bilateral

rectovag confirms findings

Lab

urine dip-neg blood, neg leuks, neg nitrates

KOH wet prep neg hyphae, spores

NaCl wet prep pos trichomonads, neg clue, pos whiff, pos WBC,s neg RBC’s rare lactobacilli

Questions

  1. Would you perform a pelvic exam and/or a pap smear?
  2. What is your Diagnosis (Assessment)?
  3. What is your Plan, including treatment and education?
  4. Would you prescribe treatment for her partner(s)?
  5. What contraceptive care/counseling would you offer Geri?
  6. List 2 community resources in your are that you could utilize.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

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