14. A 28-year-old female present to your clinic for evaluation of her vaginal discharge. Discharge has been present for one week; it is different than her normal vaginal discharge. The patient is sexually active with her boyfriend of 3 years. Upon exam, you noticed a homogeneous vaginal discharge, normal vaginal wall otherwise. Microscopic evaluation revealed "clue cells" and fishy smell upon applying potassium hydroxide to the sample. A vaginal secretion pH is greater than 4.5. The most appropriate treatment for this condition is: A. Amoxicillin B. Metronidazole C. Fluconazole (Diflucan) D. Azithromycin E. Ciprofloxacin Answer: B Explanation: Answer A is incorrect as the patient has a bacterial vaginosis and amoxicillin is not the drug
2. If you were the doctors on the scene, what diagnosis would you give this patient? (You may use the internet to help diagnose the patient.)
7. What is the prognosis for the disease or disorder (a) without treatment and (b) with treatment?
PO is referred to continue chemical dependence treatment at the community agency. PO will need to have a new assessment to determine appropriate level of care. PO is recommended to attend minimally of two self-help meetings per week, abstain from all mood-altering substance, and utilize positive support structure to aim and maintain substance free lifestyle.
24) A patient who is on Aldactone and Lasix ask the nurse why he is receiving two medications together, the nurse explains that this combination:
REQUEST, REASON, ISSUES, BOARD TYPE, AND DECISION: The applicant requests an upgrade of his uncharacterized discharge to honorable. The applicant states, in effect, he served for four years in the National Guard and deployed to Afghanistan in 2005 thru 2006. The applicant contends, he enlisted upon redeployment despite having Post-traumatic Stress Disorder (PTSD) symptoms and other medical problems. The applicant states, he requested counseling for his PTSD, instead he received a counseling statement informing him that he would receive an entry level status (ELS) separation with an uncharacterized discharge. The applicant further contends, he was diagnosed with PTSD and rated 40 percent disabled rating by the VA for PTSD. The applicant states, he had held a position as the communications sergeant with the McAllen Police Department after being discharged. The applicant contends, he is an upstanding member of the community has never been in trouble with the law, and this is evidence of his desire to serve. The applicant further contends, he served his country honorably as an infantry Soldier and an uncharacterized discharge for PTSD is wrong. The applicant states, an honorable discharge would do justice for the unfortunate administrative action taken against him in September 2006.
After Graduation in 2011 I was unable to find a job for several months dues to both the economy, and living in a rural area without reliable transportation. In 2013 Converge diagnostic was sold to quest, and relocated outside a reasonable commute distance. I could live off my emergency funds, until I was offered a position as a pathology tech at Lahey clinic and medical center.
Healthy women are colonized with Lactobacillus species, but levels can change dramatically over a month. Marked increases in G. vaginalis were observed during menses. Participants with BV have diverse communities of fastidious bacteria that are depleted by vaginal metronidazole therapy. Women with recurrent BV initially respond to antibiotic treatment with steep declines in bacterial concentrations, but these bacteria later reemerge, suggesting that antibiotic resistance in these bacteria is not an important factor mediating BV recurrence. A clear understanding of how women with recurrent BV reacquire the BV bacteria is important for prevention. The decrease rate of the BV bacteria with antibiotic treatment varies suggesting that longer antibiotic treatments are needed in some
Yeast covers the body- especially every spot that has skin folds. Common locations include our mouth, stomach, nail beds. Women typically find yeast beneath larger breasts and in the vaginal area. However if the yeast exceeds the normal stages, yeast infection occurs. Yeast infection triggers the production of too much yeast and is all started by a particular bacteria called Candida Albicans. This bacteria thrives in warm, moist places. The most well-known evidence of yeast infection is intense itchyness and inflammation in the affected location.
Vaginal infection is a medical term used to describe various conditions that cause infection or inflammation of the lining mucosa of the vagina (Shuman, 2009; & Shaaban, 2010).Vaginal infection is common problem for women who seek medical care. They are responsible for more than 10 million of visits annually to gynecologist's office, Also it is the most common gynecological complaints that creates discharge, odour, dysuria, dyspareunia and irritation or itching (Pearlman & Tintinalli, 2009; & Stenchever, 2011).
“Bacterial vaginosis is a vaginal infection caused by a replacement of the normal vaginal lactobacilli by an overgrowth of microorganisms”. A high concentration of unhealthy microorganisms associated with bacterial vaginosis along with a decreased level of beneficial lactobacilli results in the vaginal infection. This disease occurs when the vagina has more harmful bacteria than good bacteria. Without enough of good bacteria in the vagina, there is too much bad bacteria. Bacterial vaginosis is not known as a classic sexual transmitted infection. “Bacterial vaginosis is not dangerous, but it can cause disturbing symptoms. If bacterial vaginosis is left untreated it can raise the risk of sexually transmitted infections. Bacterial vaginosis could also cause problems during pregnancy.
A genital yeast infection in men is a condition that causes soreness, swelling, and redness (inflammation) of the head of the penis (glans penis). This type of infection is also called balanitis. Genital yeast infection can be spread through sexual contact, but it can also develop without sexual contact. The infection tends to come back if not treated properly.
The sexual health issues in this scenario are Ms Q is experiencing sexual abuse from a family member (a relationship of trust), she is unable to make healthy decisions about her sexual health out of fear, she is at risk of STI’s, unwanted pregnancies. She is experiencing and physical and mental abuse that puts her at risk for harm, prevents her from making decision about her own sexual, physical and mental health. This controlling and abusive relationship violates her personal legal rights to make her own decision about her sexual health and puts her at further risk for more physical, sexual and mental health issues in the future. This type of abuse will potentially negatively affect her ability to have healthy sexual relationships, sexual
Women 's health has always been sort of a tricky subject to tackle because it is such a broad scope of all it can entail. There are many different subtopics that the general term of women 's health absorbs, from what happens when a young girl hits puberty all the way to the issues an aging women has post-menopause and throughout her later years. In this paper we choose to explore the vaginal health issues of women 's health. There are a myriad of feminine issues that can affect overall vaginal health, to include yeast infections, bacterial infections, and a host of STI 's (sexually transmitted infections) or STD 's (sexually transmitted diseases); some can seem serious and even arouse fear or embarrassment because of the symptoms one
Atrophic vaginitis affects approximately 25 to 50 percent postmenopausal women (Shen, Song, Williams, Brown, et al., 2016). According to Sullivan and Rice (2017), atrophic vaginitis referred to as vaginal atrophy that occurs with vaginal wall thinning related to decrease in estrogen levels. Therefore low estrogen levels can occur in women after menopause, with a history of bilateral oophorectomy, as well as postpartum (Krapt et al., 2015). Atrophic vaginitis is not a sexual transmitted disease since it only occurs in women due to lack of estrogen, which estrogen assists the vaginal wall to maintain thickness and elasticity through retaining the collagen with the epithelium lining along with moistness ( Krapt et al., 2015).
This procedure has to be delayed until the patient reach the puberty in order for non-surgical treatment to be tried first. Otherwise, the surgical creation of vagina during childhood will have poor