Please respond to discussion below using current APA edition and 2 academic (scholarly) references within 5 years or less. Must be at least 150 words.
What other subjective data would you obtain?
The duration and intensity of the symptoms, any recent changes in sexual partners, STI history, past occurrences of the same symptoms, and any pertinent medical history are all examples of further subjective data that would be gathered. It would also be vital to find out the patient’s menstrual history and any symptoms, like unusual bleeding or pelvic pain, that might be connected. Also, the partner’s sexual history and if he has ever been diagnosed with any STIs, tested and treated as well.
What other objective findings would you look for?
To grasp the patient’s condition better, additional unbiased findings would be necessary. The vulva, vaginal introitus, cervix, and vaginal mucosa would all be further evaluated through a pap smear (Rhodes et al., 2021). Any potential anomalies would need to be found through evaluation of further vital signs, palpation of the abdomen, and examination of the inguinal lymph nodes.
What diagnostic exams do you want to order? State your rationale for each supported by academic resources.
In order to find any probable infections and inflammation signs, a complete blood count (CBC), ESR, urine, and cultures should be taken. Testing for Chlamydia, Gonorrhea, Syphilis, and Human Papillomavirus (HPV), Herpes, and all other STIs should be done as part of STI testing. In order to pinpoint the precise infection causing the symptoms, a vaginal swab should be taken.
Name 3 differential diagnoses based on this patient presenting symptoms.
Three differential diagnoses based on this patient presenting symptoms are genital herpes, chlamydia infection, and Syphilis.
Give rationales for each differential diagnosis supported by academic resources.
Painful genital sores caused by genital herpes, or the Herpes simplex virus type 2 (HSV-2) can occasionally be accompanied by yellow discharge. The presence of painful sores, yellow discharge, and pain while urinating is consistent with the genital herpes virus’s typical symptoms. This diagnosis is supported by the patient’s sexual history and the persistent nature of the symptoms.
Chlamydia trachomatis is a bacterial sexually transmitted illness that produces soreness in the inguinal lymph nodes, pain during sexual activity, and yellow discharge (CDC, 2021). The patient’s inconsistent use of safe sex techniques makes this diagnosis conceivable.
The patient’s primary complaint of pain during sex, pain when urinating, and sores and lumps on the inner thighs and pelvic creases may indicate syphilis. Additionally, they mentioned yellow discharge and soreness in their left bottom quadrant, all of which are classic signs of syphilis infection. The patient must engage in safe sex because syphilis is spread through direct contact during any sexual activity. Early syphilis therapy is essential to avoid more severe problems, such as infection spread or, even worse, tissue destruction (Lindau et al., 2021).
What teachings will you provide?
Safe sexual behavior should be stressed, particularly the proper use of barrier techniques, such as condoms, which help prevent STIs even when using birth control tablets (Garcia et al., 2023). She has to learn about the dangers of unprotected sex. Information on the value of routine STD testing, especially for sexually active individuals, should be made available. In accordance with sexual activities, list the tests and the suggested frequency of screening. Talk about the condition’s various treatments and the value of seeing a treatment plan through to the end. Her partner(s) should be informed of her symptoms and encouraged to get checked out by a doctor, if necessary, and receive treatment. Describe to the patient the significance of tracking the effectiveness of the treatment and dealing with any remaining symptoms, emphasizing to the patient the necessity of routine checkups and follow-up visits. Educate people on how to maintain their general sexual health, including safe sexual practices, STI screenings on a regular basis, and the significance of communication and consent in sexual relationships.
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