session 2 vaginal discharge

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session 2 vaginal discharge by Mind Map: session 2 vaginal discharge

1. Step 6

1.1. Review session 1

1.1.1. anatomy of external genitalia, vagina and glands

1.1.2. vaginal discharge types causes physiological STD pregnancy, UTI or cyst?? others history, examination and investigation

1.1.3. medicolegal consideration for a 16 y o female undergoing a pelvic examination

1.2. 30 minutes

2. Step 8

2.1. Diagnostic decision

2.1.1. endocervicle chlamydia (STD)

2.2. Mechanism

2.2.1. unprotected sex

2.2.2. infected multipartner

2.3. Presentation

2.3.1. vaginal discharge

2.3.2. anxious

2.3.3. lower abdominal discomfort

2.3.4. contact bleeding

2.3.5. cervical tenderness

2.4. supporting date

2.4.1. microbiology PCR positive chlamydia

2.4.2. physical examination

2.5. 10 minutes

3. Step 7

3.1. Inquiry plan and info gathering

3.1.1. History of presenting complaint vagina discharge three w ago no odor no itching no color increasing abdominal discomfort with sex over the last w unusual heavy period lasting for 7 days usually regular 28 and last for 3 days menrche 13 no fever

3.1.2. sexual health history uses condom tooked OC for three m stopped OC three m ago two partners in the last year paul 17 y for one m vaginal receptive oral 1 m ago with jason 18 sometimes with condoms vaginal thinks her partners have other partners last time three days ago with paul first intercourse 14 y no pregnancy

3.1.3. Previous medical / surgical history tonsilectomy

3.1.4. Drug history / allergy marijuana 2-3- a year

3.1.5. Family history

3.1.6. Social / occupational history smoking 5 cigriatte per day alcohol with her mother , two siblings plans to leave school want a hourse trainer jib father sepreated , regular contact popular in school since 10

3.1.7. Systemic review

3.1.8. physical examination vital inspection nervious bilteral tenderness no rebound tenderness for appendicitis gentile explained process perineium and vulva are normal in inspection moderate purulent discharge contact bleeding by manula exam pap smear serology microbiology

3.2. 50 minutes