What other information do you need?

Additional information involves the current medication of Susan Lang, which involves the length
of time used, frequency, dosage, and reasons for the use. Patients' medications may include
homeopathic products. Mental and violence health history is required to assess treatment and
diagnosis concerns of depression and diagnosis. The patient should give information on a
history of homicidal ideation, self-harm, and suicidal practices. Also, reproductive history is
needed on any sexual concerns, type of intercourse, and menstrual history.

What testing would you perform/order?

The first test would be a blood test. The blood test involves imaging in the lymphadenopathy
depending on clinical biopsy presentation. This test would be appropriate because Susan has
some anterior cervical adenopathy bilaterally. Also, her throat appears reddened. The second
diagnostic test would be a breast imaging test. The patient has signs and symptoms of redness
and discharges on her breasts. There are also some signs of bilateral nipple piercings and
fibrocystic changes bilaterally. This test can help in assessing inflammatory breast cancer to the
patient. The third testing activity would be a urine test. Susan records some signs of slight
frothy yellow discharge by the cervix. This means that she is at high risk of sexually transmitted
diseases like trichomoniasis.

What are your initial thoughts for diagnosis?

It was evident that the throat area was reddened. This made me thought that Susan was
suffering from cervical lymphadenopathy. Some interior cervical adenopathy bilaterally was a
clear sign of lymphadenopathy. The bilateral fibrocystic change gave me the impression that
the patient had inflammatory breast cancer. Other signs that supported my initial thoughts on
inflammatory breast cancer involve bilateral nipple piercings, redness or discharge, and
dimpling. Also, I had the impression that the patient had a trichomoniasis infection. This is
because there were some signs of slight frothy yellow discharge by the cervix.

What are your next steps?

The next step after the diagnostic test would be to recommend treatment and follow-up plans
to ensure the wellness of Susan. The treatment plan involves three conditions, which include
trichomonads, gonorrhea, and chlamydia.

The trichomoniasis condition can be treated with a prescription medication of antibiotics. The
recommended antibiotic is tinidazole and metronidazole. These are pills that can be taken by
the month. Since Susan drinks alcohol regularly, there is a need to take the right precautions to
reduce side effects. Susan is at the risk of getting trichomoniasis because she has several
partners. There is a need for all her partners to get treated for the same to prevent the same
symptoms coming back. The health condition of gonorrhea can be treated with a single dose of
intramuscular ceftriaxone and oral azithromycin. The intramuscular ceftriaxone should be 250
mg, while the azithromycin should be 1g. Susan should take medication as prescribed to cure
gonorrhea. The medication does not repair the damage caused by the disease even though the
condition is completely cured. The antimicrobial might act as resistance to the successful
treatments of gonorrhea. The treatment plan for chlamydia is an oral antibiotic. The most
common treatment is doxycycline and azithromycin. Susan should take a single dose of
azithromycin or doxycycline twice a day in two weeks. There is a need to continue taking
medications, even if the condition gets better. Susan should abstain from sex for at least one
week.