Genitourinary Clinical Case
Havingunprotected sexual intercourse without knowing the status of thepartner may result in transmission of sexually transmitted infections(STIs). The various types of STIs are easily passed especially whenone partner has the virus or the bacteria responsible for thedisease. In many occasions, infected individuals rarely detect theinfection until symptoms appear, requiring them to seek seriousmedical attention. In the case study, a female victim seeks medicalattention following strange symptoms that resemble those of STIs, andthus, series of diagnoses must be undertaken, followed by treatmentand counseling. Therefore, the essay seeks to assess the diagnosis,plan of care, and factors that may hinder optimal management of thedisorder.
Whena patient reports the situation after noticing the symptoms, thereare three priority diagnoses undertaken. Besides, the examinationmust be supported by proper documentation to ensure accuracy andclarity of the results. In the case provided, the first diagnosis isthe chlamydia, the most common STI, whose symptoms resemble those ofthe female patient (Mishori et al., 2012). The symptoms include painwhen urinating, vaginal discharge, and abdominal pain. Otherdiagnoses are the tests for Urinary Tract Infections (UTIs) and thePelvic inflammatory disease (Walker et al., 2015). Additionally, thepatient is also subjected to other tests such as the medical history,cardio rate, abdominal condition, and genitourinary infections.
Oncethe diagnosis is complete, and the exact disease is detected,immediate plan of care is provided. Consequently, pharmacological andnon-pharmacological treatments methods are provided, alongside propercounseling and education (CDC,2013).For instance, in the case of chlamydia infection, azithromycin ordoxycycline is administered together with appropriate counseling andeducation on how to manage, reduce and avoid STIs (Staff, 2017).
Whendefining the priority for diagnosis, trained physicians select theprimary or other common infections that have the highest records, andthen narrow down to the symptoms. Furthermore, the medical history ofthe patient such as past surgical, family, or medication history isused to determine the possible infections (Workowski & Bolan,2015). After prioritizing the diagnoses, the doctors undertake bloodtests, urine samples, and fluid samples together with other tests todetermine the actual disease. On the patient, STIs cause emotionalstress and loss of self-esteem due to fear and possiblestigmatization. Additionally, physical issues such as difficulty inmovement, constant discharge or foul smell may as well affect thevictim. Therefore, to ensure adequate disorder management, thereshould be an efficient team of personal ranging from doctors, nurses,counselors, friends, and parents. The stakeholders help inmedication, education and emotional support to reduce thepsychological impacts of the disorder.
Onthe same note, the barriers to optimal disorder management must beconsidered and solved accordingly. The obstacles include thefinancial constraints that may limit the victim from accessing timelymedication. Additionally, there may be the lack of external supportfrom friends or relatives, and ineffective medical personnel andequipment. Optimal management may also be hindered by poor attitudeof the patient, effects of other medical conditions, fear ofstigmatization and insufficient time for education and treatment(Chen& Tabrizi, 2015).
Conclusively,STIs are dangerous medical conditions that require proper diagnosisand treatment. Due to the difficulty in timely detection of theinfection, the symptoms are assessed together with medical history,and the victim`s condition before a proper conclusion is made. Oncethe disease is identified, immediate treatment, medication, andtherapy are provided alongside active counseling, to ensure optimaldisorder management.
CDC,.(2013). CDC- Clinical Prevention Guidance – 2010 STD Treatment Guidelines.Cdc.gov.Retrieved 5 April 2017, fromhttps://www.cdc.gov/std/treatment/2010/clinical.htm
Chen,M. Y., & Tabrizi, S. N. (2015). Challenges to the management ofcurable sexually transmitted infections. BMCinfectious diseases,15(1),337.
Mishori,R., McClaskey, E. L., & Winklerprins, V. J. (2012). Chlamydiatrachomatis infections: screening, diagnosis, and management.Americanfamily physician,86(12).
Staff,M. (2017). Treatment- Mayo Clinic.MayoClinic.Retrieved 5 April 2017, fromhttp://www.mayoclinic.org/diseases-conditions/sexually-transmitted-diseases-stds/diagnosis-treatment/treatment/txc-20180605
Walker,J. N., Flores-Mireles, A. L., Caparon, M., & Hultgren, S. J.(2015). Urinary tract infections: epidemiology, mechanisms ofinfection and treatment options. Naturereviews microbiology,13(5),269-284.
Workowski,K. A., & Bolan, G. A. (2015). Sexually transmitted diseasestreatment guidelines (2015). ReproductiveEndocrinology,(24), 51-56.
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