Posted: January 21st, 2024

wk 2 discussion Case Scenario 1

wk 2 discussion. Complete all the requirements of the case scenario.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
Case Scenario 1

Table 1

Infection

Description

Presentation

Causes/ Risk Factors

Treatment per CDC

Addtl info

Candida

BV

Chlamydia

Gonorrhea

Trichomonas

Cervicitis

PID

HIV

Syphilis

Hep B

Hep C

HSV

Table 2

Question

Answer

Name 10 Risk Factors for contracting STI’s and HIV

Name 5 safer sex practices

Can HIV be transmitted through sweat, saliva, and tears? (Get custom essay samples and course-specific study resources via course hero homework for you service – Include rationale)

Name 2 types of intercourse are at the highest risk for contracting HIV

Why are women more susceptible to HIV in a male to female relationship (versus a male contracting it from a female)?

Lisa is a 19-year-old female who presents to the clinic c/o abnormal vaginal discharge for one week after having unprotected vaginal intercourse with a new male partner she has been dating for a couple of weeks. Lisa’s pregnancy test is negative and her LMP was 2 weeks ago. As her health care provider, you will need to perform testing to determine if Lisa has contracted a sexually transmitted infection or other vaginal infection.

Ace my homework – Write a brief SOAP note regarding this patient. Make sure to include your answers to these questions in your SOAP note.

Subjective:
What other relevant questions should you ask regarding the HPI?
What other medical history questions should you ask?
What other social history questions should you ask?
Objective:
Explain what POCT will you order and perform, and discuss your rationale for ordering and performing each test.
Assessment/ Diagnosis:
What would be an appropriate diagnosis for her? Why?
Any other diagnosis or differential diagnosis you would like to add?
Plan:
What will you prescribe for this patient? Why? (assume one of your lab test results is positive), Explain what medications and treatments you would recommend
Explain treatment guidelines and side effects including any possible side effects of the medication and treatment(s), partner notification, and follow-up plan of care.
What patient education is important to include for this patient? (Consider when can the patient resume sexual activity)
Explain complications that can occur if patient does not comply with treatment regimen.

Subjective:
Some additional relevant questions I would ask Lisa regarding her history of present illness include when her symptoms first started, if she has had any similar symptoms in the past, and if her partner has had any similar symptoms.
Additional medical history questions include her sexual history such as number of partners, method of birth control, last STI screening, vaccinations, medications, allergies, menstrual history, and family medical history.
Additional social history questions include details about her relationship, education level, occupation, substance use, living situation, and support system.
Objective:
I would order point-of-care tests (POCT) to test for chlamydia, gonorrhea, trichomoniasis, and bacterial vaginosis. Testing for these common STIs and infections is recommended due to Lisa’s symptoms and sexual risk factors (CDC, 2020).
I would perform a wet mount to examine her vaginal discharge under a microscope for clues to diagnosis like presence of clue cells or motile trichomonads. I would also perform a pH test of her vaginal discharge since bacterial vaginosis causes an increased vaginal pH (Workowski & Bolan, 2015 – Research Paper Writing Help Service).
Assessment/Diagnosis:
A likely diagnosis given her symptoms and risk factors would be trichomoniasis. Trichomoniasis causes abnormal vaginal discharge and is one of the most common curable STIs (CDC, 2021). Differential diagnoses to consider include bacterial vaginosis, candidiasis, and chlamydia.
Plan:
If any of her STI tests are positive, I would prescribe the recommended treatment regimen. For example, if she tested positive for trichomoniasis I would prescribe metronidazole or tinidazole as recommended by the CDC (2021).
I would educate Lisa on taking the full course of antibiotics as prescribed to clear the infection and prevent reinfection or complications. Potential side effects of the medication like nausea would be discussed. Partner notification and treatment is important to prevent reinfection. Follow up testing in 3 months is recommended by CDC guidelines to ensure cure.
Education on safer sex practices and the importance of condom use and STI screening with new partners going forward would be provided. Resuming sex can occur once treatment is completed. Complications of untreated STIs include pelvic inflammatory disease and increased risk of HIV.

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