Charli Souza Main Post
COLLAPSE
A 28 year old female with an offensive and fishy-smelling, abnormal vaginal discharge is characteristic for bacterial vaginosis. BV is not always associated with sexual intercourse as it can be from a a change in the pH or normal bacteria in the vagina (Fenstermacher & Hudson, 2016). Douching, tampon use, or new/multiple sex partners can all be causes of BV. In order to evaluate this patient, I would first assess the vaginal discharge during a pelvic examination. There are a few diagnostic tests that can be done to diagnose this. According to Fenstermacher and Hudson (2016) there are 4 diagnostic tests that can be done in which 3 out of the 4 must be present to diagnose BV. First the pH can be tested. A pH that is greater than 4.5 may indicate BV. Another diagnostic test is to simply assess the vaginal discharge. Discharge that is copious, thin, grey-white that coats the vagina indicated BV (Fenstermacher & Husdon, 2016). A third diagnostic test is the positive whiff test. This test uses 10% KOH to the sample and produces a fishy odor that can be smelled. A fourth test is clue cells on wet prep that shows 20% more clue cells than epithelial cells when looks at under a microscope (Fenstermacher & Hudson, 2016). There are no NPO or fasting that must take place before examination. It would be best for the patient to be free from sexual intercourse prior to the exam.
Need Help Writing an Essay?
Tell us about your assignment and we will find the best writer for your paper.
Write My Essay For MeEducation that should be given to the patient is to avoid any type of douching and the use of tampons. This patient is married and has one sex partner so there is not a concern with multiple sex partners. There is also no need to treat the partner for this. Sex should be avoided during antibiotic treatment. The patient may benefit from using cotton, lose fitting underwear (Fenstermacher & Hudson, 2016).
Reference
Fenstermacher, K., and Hudson, B. (2016). Practice guidelines for family nurse practitioners, 4th Edition. St. Louis, Missouri: Elsevier.
Experienced Academic Essay Writers: Premier Essay Writing Services.
Are you in search of a tailored essay service that aligns with your precise requirements? Look no further than study-tutors.com, where we have established ourselves as the foremost source of authentic, top-tier essays offered at student-friendly rates. Our adept writers are dedicated to crafting the paper you require, bolstering your academic achievements along the way. Designed to furnish you with adept writing assistance, our personalized essay writing service is meticulously tailored to foster your success. Should the demands of your college assignments be overwhelming, rest assured that our seasoned essay writers are here to support you every step of the way.
Order Original and Plagiarism-free Answers Written from Scratch and within your selected deadline.
