100%(10)10 out of 10 people found this document helpful
This preview shows page 6 - 9 out of 9 pages.
COMPREHENSIVE PATIENT ASSESSMENT 7The choice of treatment for TV has been metronidazole (MTZ) which was reported with a 95% success rate in curing the disease. A single dose of 2gm MTZ is recommended in non-pregnant and non-breastfeeding women. The World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) recommend MTZ 400-500mg BID for 7 days as an effective alternative therapy. The patient’s sex partner is encouraged to seek testing and treatmentto prevent cross- and reinfections (Kissinger, 2015). However, the CDC does not encourage providers to treat against chlamydia and gonorrhea when treating for TV. The student has also educated the patient on the abstinence of alcohol while being treated with metronidazole. Furthermore, the patient was encouraged to consider informing her partner about the sexual transmitted sexual disease and advise them to seek medical testing. It was also discussed that the patient should refrain from any sexual intercourse until both were treated and symptoms have resolved. The patient was also educated on safe sex practices since trichomoniasis is associated with the higher risk of contracting HIV. Lastly, the patient was advised to return to the clinic for retesting if the symptoms do not resolve after receiving the recommended treatment (Schumann & Plasner, 2019).Differential Diagnoses1)Bacterial Vaginosis (BV):is the most prevalent cause of abnormal vaginal discharge dueto increased presence of Gardnerella in the vaginal flora. It was shown that BV is may also be considered a sexually transmitted infection. Studies have shown a close association of TV and bacterial vaginosis (Kissinger, 2015) The patient’s complaints of vaginal irritation with white thick discharge with odor may be an indicator for the differential diagnosis BV. However, this diagnosis can be ruled out since the wet mount
COMPREHENSIVE PATIENT ASSESSMENT 8did not reveal any clue cells and the patient’s whiff test was also negative for a offensive fishy-smelling odor (Hay, 2017)2)Chlamydia trachomatis:is a bacterial sexually transmitted disease. It may be asymptomatic but ascending infections may present with clinical features of pelvic inflammatory disease such as chronic pelvic pain as the patient is experiencing (O’Connell & Ferone, 2016). At this time chlamydia cannot be ruled out since the DNA probe was sent to a cooperating laboratory. However, TV infections are correlated to the combination with other sexually transmitted diseases such as Neisseria gonorrhea and Chlamydia trachomatis. Furthermore, it was found that TV is more prevalent in women compared to men and that it is more common in African American females (Schumann &Plasner, 2019).3)Endometriosis: is defined as the growth, adhesion and progression of endometrial glandsand stroma outside of the uterine cavity. It has been associated with bilateral or unilateral chronic pelvic pain. Common symptoms women may experience also align with the