Assessing the Genitalia and Rectum
As the patient is sexually active, the bumps on the genitalia could be caused by genital warts or genital herpes, due to the herpes simplex virus. Other differential diagnoses could include contact dermatitis, folliculitis, acne inversa, and Molluscum contagiosum, which is “a viral infection characterized by lesions that can occur anywhere on the body, including the vaginal area” (Leonard, 2017).
Additional information that should be obtained from the exam would include more data about the patient’s personal medical history and whether the patient is undergoing a regular menstrual cycle. The patient’s age is listed as 21 but she is married with three children, plus sexually active with more than one partner in the past year, so there may be more information that is required about this particular set of data regarding personal history. It is important to make sure all information is up to date and accurate before making a diagnosis.
Ball et al. (2017) indicate that the signs demonstrated by the patient do not indicate a clear, definitive pathogenesis of any one symptom, though the bumps on the genitalia are likely due to genital warts or genital herpes. These could be tested, but more information about the last time the patient had sexual intercourse would be needed. This information should be elicited with sensitivity for the patient’s feelings especially if the patient is married and the implication is that the sexual activity occurred outside of marriage. This should, however, not be assumed, as the patient may have not recently engaged in sexual activity outside of marriage in the time leading up to the appearance...
References
Ball, J. et al. (2017). Seidel’s guide to physical examination. Eslevier.
CDC. (2018). Genital warts treatment. Retrieved from https://www.cdc.gov/std/treatment/2010/genital-warts.htm
Leonard, J. (2017). How to get rid of vaginal pimples. Retrieved from https://www.medicalnewstoday.com/articles/317810.php
Wilson, D. (2017). Guide to vaginal lumps and bumps. Retrieved from https://www.healthline.com/health/womens-health/vaginal-lumps-bumps
HPV Vaccine Rogerian Argument HPV Vaccine GArDasil HPV Vaccine Gardasil HPV Vaccine Gardasil HPV Vaccine Gardasil was licensed by the U.S. Food and Drug Administration licensed in June 2006, prevent infection from four human papillomavirus (HPV) types, two of which case cervical cancer (Cox, Cox, Sturm, & Zimet, 29). Gardasil was prepared by Merck pharmaceutical company. The company started its campaign to make Gardasil mandatory after the introduction of the vaccine. "Papillomaviruses (PVs) make up
HPV is the number one sexually transmitted disease in the U.S. The disease which used to be thought of as innocuous but annoying, which causes the growth of genital warts and other anomalies, has since been linked to abnormal tissue growth in the cervical area causing dysplasia and potentially cervical cancer among millions of women. The viral infection and more specifically HPV viral infection with one of only a few
While there is logic in the argument that HPV could be prevented by abstinence, it is not a rationale statement. There isn't any way that people will stop having sex. While we all know that abstinence can prevent teen or unwanted pregnancies and sexually-transmitted diseases -- even the emergence of HIV / AIDS did not stop people from having sex. The HPV vaccine should be available to all girls and
No medical treatment exists for treating HPV infection other than prevention through education about the dangers of multiple sexual partners and unprotected sex, because HPV infection is transmitted through sexual contact with an infected individual. A vaccine is available, but both its high cost and several elements associated with its rushed approval by the FDA in 2006 suggest that further study is warranted before its wide-scale use, particularly on a mandatory
Jci.org/cgi/content/full/116/5/1167. In 2006, an estimated 9,710 cases of invasive cervical cancer will be diagnosed in the United States, and an estimated 3,700 women will die from this disease. Globally, cervical cancer is the second most common cause of cancer death in women, with an estimated 510,000 newly diagnosed cervical cancer cases and 288,000 deaths." Saslow et.al, 2007, at http://caonline.amcancersoc.org/cgi/content/full/57/1/7?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=1&title=American+Cancer+Society+Guideline+for+Human+Papillomavirus&andorexacttitle=and&andorexacttitleabs=and&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT HPV is arguably the most common sexually transmitted disease in the United States,
As it has been used, it has been shown to be particularly successful in preventing cervical cancer in young women patients. Three authors write, "In clinical trials, the vaccine has been 100% effective in preventing the 2 types of HPV (types 16 and 18) responsible for 70% of cervical cancers and the 2 types of HPV (types 6 and 11) responsible for 90% of genital warts" (Vamos, McDermott &
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