Week 2 DB Prompt 1

Case Scenario 1

Table 1

Table 2

Infec&on Descrip&on Presenta&on Causes/ Risk Factors

Treatment per CDC

Addtl info

Candida

BV

Chlamydia

Gonorrhea

Trichomonas

Cervici&s

PID

HIV

Syphilis

Hep B

Hep C

HSV

Ques&on Answer

Name 10 Risk Factors for contrac&ng STI’s and HIV

Name 5 safer sex prac&ces

Can HIV be transmiNed through sweat, saliva, and tears? (Include ra&onale)

Lisa is a 19-year-old female who presents to the clinic c/o abnormal vaginal discharge for one week aUer having unprotected vaginal intercourse with a new male partner she has been da&ng for a couple of weeks. Lisa’s pregnancy test is nega&ve and her LMP was 2 weeks ago. As her health care provider, you will need to perform tes&ng to determine if Lisa has contracted a sexually transmiNed infec&on or other vaginal infec&on.

Write a brief SOAP note regarding this pa&ent. Make sure to include your answers to these ques&ons in your SOAP note.

1. Subjec&ve:

a. What other relevant ques&ons should you ask regarding the HPI?

b. What other medical history ques&ons should you ask?

c. What other social history ques&ons should you ask?

2. Objec&ve:

a. Explain what POCT will you order and perform, and discuss your ra&onale for ordering and performing each test.

3. Assessment/ Diagnosis:

a. What would be an appropriate diagnosis for her? Why?

b. Any other diagnosis or differen&al diagnosis you would like to add?

4. Plan:

Name 2 types of intercourse are at the highest risk for contrac&ng HIV

Why are women more suscep&ble to HIV in a male to female rela&onship (versus a male contrac&ng it from a female)?

a. What will you prescribe for this pa&ent? Why? (assume one of your lab test results is posi&ve), Explain what medica&ons and treatments you would recommend

b. Explain treatment guidelines and side effects including any possible side effects of the medica&on and treatment(s), partner no&fica&on, and follow-up plan of care.

c. What pa&ent educa&on is important to include for this pa&ent? (Consider when can the pa&ent resume sexual ac&vity)

d. Explain complica&ons that can occur if pa&ent does not comply with treatment regimen.