7 million people have the infection Common complaints include copious yellow

7 million people have the infection common complaints

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that 3.7 million people have the infection. Common complaints include copious, yellow- green, or watery gray vaginal discharge, vaginal odor, dysuria, dysparenunia, postcoital spotting or bleeding, abdominal discomfort, and pruritus (Schuiling & Likis, 2017). Speculum examination is inspected for vaginal walls for discharge and irritation. The cervix will be inspected for discharge, erythema, punctuate hemorrhages (strawberry- patch cervix), and friabiliy. This diagnosis is not likely due to results of the wet prep. A wet prep resulting in trichomoniasis would have revealed the visualization of motile, flagellated trichomoniasis. Increased number of white blood cells may be present (Cash, 2018) The patient did have vaginal discharge but it was thin and white, not yellow or green, frothy, or containing pus or mucus. 3. Vulvovaginal Candidiasis- (also know as moniliasis) is a common, yeast-like fungal infection of the vulva and vagina. In 90% of the cases, the cause is Candida albicans infection. Approximately 75% of all women have at least one episode of candidiasis. It is estimated that 50% of these women have recurrences. Some common complaints would consist of: thick white “cheesy” vaginal discharge, Itiching, mild to intense pruritus, Vaginal or vulvar irritation, red, and swollen, and discomfort during and after intercourse. Diagnostic test would include a wet prep with 10% potassium hydroxide and normal saline prep. Results would be determined by microscopic examination of vaginal discharge which would indicate yeast hyphae and/or spores. Testing discharge with nitrazine paper can also be done (Cash, 2018). This diagnosis is least likely. The patient’s discharge is white, thin, and has a fishy odor instead of a “cheesy”. The patient also
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8 Running head: SOAP note denied pain with intercourse and pain or burning to the vagina. The most definitive test is the wet prep which resulted in “clue cells” instead of yeast hyphae and/or spores. Primary Diagnosis: Bacterial Vaginosis (BV) Labs & Tests: Wet Prep preformed, slide examined under a microscope, resulted in "clue cells," which are vaginal cells covered with bacteria that are a sign of bacterial vaginosis (Sobel, 2018). Whiff test positive for fishy odor. The wet mount (also called a wet prep) procedure is a technique used to identify vulvovaginitis commonly caused by trichomoniasis, bacterial vaginosis, and vulvovaginal candidiasis. Any patient complaining of vaginal discharge, irritation, vaginal pain, and/or a vaginal odor should have a wet mount performed to aid in identifying the organism to assist in the diagnosis (Cash, 2018). Microscopic vaginitis differentiation between the three diagnosis is easily identified. For bacterial vaginosis, clue cells would be seen and there would be few or no white blood cells (WBCs). Clue cells are epithelial cells of the vagina that get their distinctive stippled appearance by being covered with bacteria. These epithelial cells are “studded" with bacteria that adhere for unknown reasons. They look dense and tend to “glitter" when the focus is varied Cash, 2018).
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  • Summer '15
  • Vagina, vaginal discharge, bacterial vaginosis

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