Hanna Schumm

MN 577

MN577 Unit 5 Assignment

During your first 5 weeks of clinical, you have probably had patients with vaginal complaints
and possible infections. For this assignment, you will choose three STIs. Then fill in the chart for
all columns including presenting symptoms, physical findings, laboratory/ diagnostic findings
and management or treatment. Do not leave any section blank.

When complete, upload your chart to the Dropbox.

Infection Patient Physical Laboratory Management/ Patient Referrals

presenting Findings on or treatment counseling/ (if any)
symptoms exam Diagnostic teaching
exams

m
Bacterial -may be -thin, white -saline wet -oral -while on flagyl -no

er as
Vaginosis asymptomatic malodorous mount to metronidazole, it is important referrals

co
-fish smelling vaginal look for clue 500mg BID for to counsel or follow

eH w
vaginal discharge cells 7 days against the use up
discharge, -pH level -whiff test -topical of alcohol indicated

o.
usually after greater than using KOH clindamycin -sexual unless
sex
rs e 4.5 to emit a cream 2% abstinence symptoms
ou urc
-positive fishy odor intravaginally at during return
whiff test bedtime for 7 treatment is after
-vaginal pH
days recommended treatment
-clue cells on using pH
or the use of
o

microscopic paper and

exam vaginal (Schadewald et condoms
aC s

(Schadewald secretions al., 2020) -if using

vi y re

et al., 2020) (Schadewald clindamycin

et al., 2020) cream, counsel
that the cream
may weaken
condoms and
ed d

diaphragms up
ar stu

to 5 days after
use
(Schadewald et
al., 2020)
is

-can be -foul -Nucleic acid -metronidazole -counsel patient -no

Th

Trichomoniasis
symptomatic smelling, amplification 2 grams PO as a the infection referral is
or green to testing single dose is can be cured indicated
asymptomatic yellow (NAAT) for the -sexual partner -no follow
-foul smelling discharge vaginal recommended must be treated up is
sh

yellow to -vulvar secretions or treatment as well necessary,

green, frothy erythema and urine (Schadewald et -avoid alcohol unless
discharge swelling -microscopic al., 2020) during and 3 symptoms
-foul vaginal -strawberry evaluation days following return
odor is cervix may be looking for completion of
usually seen flagella treatment

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 Hanna Schumm
MN 577

presenting -elevated pH (Schadewald -mild nausea

symptom (Schadewald et al., 2020) and metallic
-men are et al., 2020) taste in mouth
usually can occur with
asymptomatic treatment
(Schadewald (Schadewald et
et al., 2020) al., 2020)

Chlamydia -women can -cervix may -NAAT -first line -if individual -no follow
Trachomatis be have testing using treatment is with has chlamydia up or
asymptomatic mucopurulent either azithromycin 1 they should be referral
-vaginal discharge endocervical gram PO as a tested for indicated
discharge, -hypertrophic swabs, urine, one time dose gonorrhea, HIV, unless
pelvic pain, changes or self- -alternative and syphilis as there is no
fevers, and -cervix may collected treatment is with well response
painful bleed easily vaginal doxycycline -all high risk to
urination upon swabs 100mg PO BID pregnant treatment

m
-men may examination (Schadewald for 7 days, but women should

er as
have penile -Adnexal et al., 2020) this cannot be be tested
discharge or -sexual partners

co
tenderness used for

eH w
burning may be noted, pregnant women should be
during with or treated as well

o.
urination without (Schadewald et and no sexual
(Schadewald
rs e cervical al., 2020) intercourse
until treatment
ou urc
et al., 2020) motion
tenderness is complete
(Schadewald -test of cure is
et al., 2020) needed in
o

pregnant
women 3 weeks
aC s

after treatment
vi y re

-everyone
treated for
Chlamydia
should be
ed d

retested for
ar stu

reinfection in 3
months
(Schadewald et
al., 2020)
is
Th
sh

References

This study source was downloaded by 100000838672517 from CourseHero.com on 12-09-2021 07:35:58 GMT -06:00

https://www.coursehero.com/file/84700651/Unit-5-STI-Chartdocx/
 Hanna Schumm
MN 577

Schadewald, D. M., Pritham, U. A., Youngkin, E. Q., Davis, M. S., & Juve, C. (2020). Women’s

health: A primary clinical guide (5th ed.). Pearson.

m
er as
co
eH w
o.
rs e
ou urc
o
aC s
vi y re
ed d
ar stu
is
Th
sh

This study source was downloaded by 100000838672517 from CourseHero.com on 12-09-2021 07:35:58 GMT -06:00

https://www.coursehero.com/file/84700651/Unit-5-STI-Chartdocx/
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