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You are seeing a 19-year-old female patient at a women’s health clinic. Her chief complaint is mild abdominal pain and a malodorous vaginal discharge. The nurse who escorted the patient to the treatment room stops you in the hall stating, “I think we recently treated this patient for a sexually transmitted infection.” A medical record search under the name given today provides no result. When you enter the room, the patient appears anxious stating, “I recently broke up with my boyfriend because I caught him cheating on me. I think he gave me chlamydia or something.” Questions 1. After a brief discussion with the patient about symptoms and sexual history, you recognize the need to screen her for sexually transmitted infections (STIs), and you ask the nurse to prepare materials needed to collect specimens for testing. What are the most common STIs? 2. What physical examinations are indicated for this patient? What findings support the presence of an STI? • External genitalia, anal and perianal areas, urethra, and vestibular glands should be examined. • Speculum examinations are used to inspect the vaginal tissue and cervix to assess for the presence of discharge or bleeding. Because the patient has expressed concerns
SCIENCE
HEALTH SCIENCE
NURSING

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