SOLVED1251

A 20-year-old female presents with a one-week history of vaginal pain. She has been sexually active with 3 partners over the last 6 months and only uses condoms occasionally. She has never been pregnant. She has been using Motrin for the pain and tried sitz baths three times a day for a few days without any improvement. On exam, vital signs reveal a heart rate of 70 beats per minute, a respiratory rate of 20 breaths per minute, a blood pressure of 90/60 mmHg and a temperature of 100.2 degrees Fahrenheit. An exam of her heart, lungs, and abdomen is within normal limits. Examination of her external genitalia reveals a 3 cm erythematous mass in the posterior labia between the vestibule and labia majora at the 7 o’clock position. There is foul green discharge from the mass. Speculum exam is within normal limits. In addition to screening for STIs, what is the best course of action? A. Treatment with a course of antibiotics effective against mixed flora B. Hot compresses and sitz baths 3 times a day C. An oral antiviral medication D. Liquid nitrogen
SCIENCE
HEALTH SCIENCE
NURSING

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