the Graves speculum necessary to visualize the cervix and other internal

The graves speculum necessary to visualize the cervix

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the Graves speculum necessary to visualize the cervix and other internal structures of the pelvis. For women with significant pelvic or genital adipose tissue, lax vaginal walls, or grand multiparity, the large Graves speculum will not only allow the best visualization but will also be more comfortable.
#39. Sexually Transmitted Infections The term sexually transmitted infection does not refer to any one specific disease, but rather refers to “a variety of clinical syndromes caused by pathogens that can be acquired and transmitted through sexual activity. Preventing, identifying, and managing STIs are essential components of women’s health care. Infection and the Causative Organism o Chancroid- Haemophilus ducreyi o Chlamydia- Chlamydia trachomatis o Genital herpes- Herpes simplex virus o Genital warts- Human papillomavirus (HPV) o Gonorrhea- Neisseria gonorrhoeae o Hepatitis- Hepatitis B virus (HBV), o Hepatitis C- virus (HCV) o Human immunodeficiency virus (HIV) o Acquired immunodeficiency syndrome (AIDS) o Molluscum contagiosum- Molluscum contagiosum virus o Pubic lice- Phthirus pubis o Syphilis- Treponema pallidum o Trichomoniasis- Trichomonas vaginalis Risk Factors for Sexually Transmitted Infections and HIV o Previous or current sexually transmitted infection o Sex with multiple or new partners
o Initiating sex at a young age o Unprotected sex o Sex with high-risk partners o Sex with an partner who has HIV o Sex in exchange for money or drugs o Sex while intoxicated o Illegal drug use o Injection drug use o Mental illness o Age < 25 years o Living in an area with high sexually transmitted infection/HIV prevalence o Residing in a detention or correctional facility All women who are sexually active should be screened for STI’s regularly through history, physical examination, and laboratory studies based on risk factors.

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