Page 277 - 2021 IDMT Digital

VAGINITIS
Introduction:
• ,QIODPPDWLRQ DQG LQIHFWLRQ RI WKH YDJLQD DUH FRPPRQ J\QHFRORJLF SUREOHPV UHVXOWLQJ
IURP D YDULHW\ RI SDWKRJHQV DOOHUJLF UHDFWLRQV DWURSK\ RU IULFWLRQ
• 1RUPDO VHFUHWLRQV GXULQJ WKH PLGGOH RI WKH F\FOH FDQ EH FRQIXVHG ZLWK YDJLQLWLV E\
FRQFHUQHG ZRPHQ

Subjective:
• 6LJQV DQG 6\PSWRPV
o 9DJLQDO LUULWDWLRQ SDLQ RU XQXVXDO PDORGRURXV GLVFKDUJH
o 3RVVLEO\ SDLQ ZLWK XULQDWLRQ LI H[WHUQDO YXOYD LV LUULWDWHG
• )RFXVHG +LVWRU\
o 5HFHQW VH[XDO KLVWRU\ DQG /03
o &RQWUDFHSWLYH XVH RU FKDQJHV LQ PHGLFDWLRQV
o 5HFHQW DQWLELRWLF XVH WDPSRQV RU GRXFKHV
Objective:
• 3K\VLFDO ([DP
o &DUHIXO LQVSHFWLRQ RI WKH YXOYD DQG VSHFXOXP H[DP RI WKH YDJLQD DQG FHUYL[
o %L PDQXDO H[DP RI WKH SHOYLV WR DVVHVV IRU WHQGHUQHVV DQG VLJQV RI LQIHFWLRQ
• 7RROV *& cKODP\GLD LI LQGLFDWHG .2+ wHW SUHS 8$
Assessment:
• 'LIIHUHQWLDO
o &DQGLGLDVLV ZKLWH FXUG OLNH GLVFKDUJH K\SKDH DQG VSRUHV RQ .2+
o 7ULFKRPRQDV SUXULWXV IURWK\ GLVFKDUJH ³VWUDZEHUU\ FHUYL[´ PRWLOH RUJDQLVPV RQ
ZHW PRXQW
o %DFWHULDO vDJLQRVLV JUHHQ JUD\ WKLQ GLVFKDUJH Z ILVK\ RGRU FOXH FHOOV RQ ZHW
SUHS
o *& cKODP\GLD VRPHWLPHV DV\PSWRPDWLF EXW FDQ FDXVH SDLQIXO FHUYLFDO PRWLRQ
DQG SXUXOHQW GLVFKDUJH
Plan:
• &DQGLGLDVLV IOXFRQD]ROH RUDO RU PLFRQD]ROH YDJLQDO
• 7ULFKRPRQDV PHWURQLGD]ROH RU WLQLGD]ROH RUDO WUHDW SDUWQHU DV ZHOO
• %DFWHULDO vDJLQRVLV %9 PHWURQLGD]ROH RUDO RU FOLQGDP\FLQ YDJLQDO
Patient Education:
• 7DNH DOO PHGLFDWLRQV DV SUHVFULEHG DQG GR QRW WDNH PHWURQLGD]ROH ZLWK DOFRKRO
• :HDU FRWWRQ XQGHUSDQWV DQG ORRVH FORWKLQJ
• )ROORZ XS $FWLRQV UHWXUQ LI QR LPSURYHPHQW ZLWKLQ RQH ZHHN

Preceptor Directive:
• Blue Directive: Contact Preceptor Immediately

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