imperative factors that can further help with the diagnosis process of

Imperative factors that can further help with the

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imperative factors that can further help with the diagnosis process of providing an objective assessment. Assessment: Chancre In regards to the information presented in the subjective and objective information, I would say that the assessment provides the minimum information to properly formulate the diagnosis provided. Although the details provided by the patient of the external bumps on her genital area can be a number of issues it does seem that the assessment of Chancre is a description of the patient’s complaint. However, the patient’s issue could be minor such as razor bumps, the reaction from new bath products or fragrances, or the appearance could signal a more serious condition such as a sexually transmitted infection or cancer. The information provided in the subjective and objective content was not thorough information that specifically went in detail regarding the characteristics of the bumps if they are in clusters, separate, etc. A chancre is a solitary lesion, firm, round, small, painless ulcer that is often is noted on the genitalia area internally (Ball, Dains, Flynn, Solomon, & Stewart, 2015). These are important questions that I feel are detrimental in order to further provide content regarding this assessment to formulate another differential diagnosis. Therefore, based on the information regarding what a Chancre sore is and the identifying complaint of the patient, I would consider this as an assessment not supported by the provided assessment information at hand. Nevertheless, even with the provided information, it is imperative to order additional diagnostic and laboratory examinations to determine if this is the diagnosis. Diagnostics: HSV specimen obtained
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The only diagnostic exam that was performed was an order for a specimen to be obtained to test the patient for Herpes Simplex Virus (HSV). In regards to the HSV test, I would assume the results to come back negative. HSV is associated as painful lesions in the genital area, with reports of burning or pain with urination, and is composed of superficial vesicles in the inner or external genital area, with an initial extensive infection (Ball et al., 2015). In regards to the complaints of the patient, HSV would be ruled out as she has painless, rough bumps on the external genital area. In addition to this test, there are other laboratory and tests that should be performed in order to arrive at a more definitive diagnosis. Before ordering any additional diagnostic tests, I would perform an external genitalia and internal vaginal examination to rule out a further spread of infection and make sure there is no internal infection. I would order diagnostic tests: colposcopy and acetic acid test due to the patient’s bumps being readily visible.
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  • Spring '18
  • Sexual intercourse, chlamydia, Vulva, Sex organ, Genital wart

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