...Case Study One Common Cause Rebecca is having a vaginal discharge for 3 days without other symptoms and significant clinical findings. According to previous study, approximately 75% women have vulvovaginal candidiasis at least once in their live, while 40-50% of them develop 2 or more than two episodes (1). Another common cause of abnormal vaginal discharge, bacterial vaginosis (BV), also have a considerably high prevalence (1). Since Rebecca was having unprotected vaginal sex with her male partner for 9-months, an un-safe sex preference must be considered in this situation. Which means, Rebecca is likely to have unprotected sex with her casual male partners (e.g. no condoms), and STIs must be considered. Trichomonas vaginalis is a common bacterial cause of abnormal vaginal discharge (1), also the commonest non-viral STI across the world (2), it should be considered in this case. Thus, three most likely conditions of Rebecca may be, * Bacterial vaginosis (BV) * Vulvovaginal candidiasis * Trichomoniasis Testing According to the Australian STI Management Guidelines and the STI Treatment Guideline (2010) provided by US CDC, the tests of each listed possible causes can be performed as, 1. BV a) Point of care tests Generally, BV can be diagnosed using gram stain microscopy and Amstel’s criteria (3,4,5). Direct observation of vaginal discharge (using speculum), vaginal pH test (using pH paper) and whiff test (using 10% KOH) need to be performed (3,4...
Words: 1269 - Pages: 6
...used by women who wish to avoid smearing a sexual partner's penis with menstrual blood while having intercourse during menstruation. In the past, douching was also used after intercourse as a method of birth control, though it is not effective (see below). Many health care professionals state that douching is dangerous, as it interferes with both the vagina's normal self-cleaning and with the natural bacterial culture of the vagina, and it might spread or introduce infections. For example, the U.S. Department of Health and Human Services strongly discourages douching, warning that it can lead to irritation, bacterial vaginosis, and pelvic inflammatory disease (PID). Frequent douching with water may result in an imbalance of the pH of the vagina, and thus may put women at risk for possible vaginal infections, especially yeast infections.[1] In May 2003, a randomized, controlled, multi-center study was conducted with 1827 women ages 18–44 who were regular users of a douche product and who had been treated recently for a sexually transmitted bacterial infection or bacterial vaginosis. Women were randomly assigned to use either a newly designed and marketed douche product or a soft cloth towelette. There was little or no indication of a greater risk of PID among women assigned to use the douche product (versus soft cloth towelette). Douching may be related to a lower probability that a woman becomes pregnant.[2] Antiseptics may also result in an imbalance of the natural bacteria...
Words: 506 - Pages: 3
...Case Study: Ectopic Pregnancy A 28 year old female patient whom is about 8 weeks pregnant was rushed to the ER (Emergency Room) after noticing some vaginal spotting. She also had two abortions in the past 3 years. The patient has been diagnosed and treated for gonorrhea and chlamydia once. She’s been having chills throughout the night but no fever. Some nausea and vomiting was reported. Her weight is at 110 lbs and her BP (Blood Pressure) is 97/54 mmHg. She complained about cloudy urine and pain after urination. She was treated for recurrent UTI (Urinary Tract Infection) and bacterial vaginosis. The RN (Register Nurse) had her to take a urine test, draw blood and orders a CBC (Complete Blood Work) and following up with a pelvic exam. The examination revealed normal external genitalia. The patient was diagnosis for different test to rule out any UTI, GTI (Genital Tract Infection), Ectopic pregnancy, and normal pregnancy. The doctor ordered an ultrasound exam. Her hCG (Human Chorionic Gonadotropin) was at 15,900 mUI/mL. The radiologist reported the patient’s ultrasound shows a thickened endometrium and slightly enlarged uterus. The result shows increased vascularity adjacent in the right ovary while the left ovary was normal. The doctor rushed in the room and told the patient that ectopic pregnancy was suspected. After being rushed in the surgery room, they prepare the patient for surgery. During the diagnostic laparoscopy, a corneal pregnancy was noted on the left side. They removed...
Words: 848 - Pages: 4
...Culture and Disease: Trichomonas University of Phoenix Culture and Disease: Trichomonas According to the Clinical Microbiology Reviews (2009), Trichomoniasis is a parasitic protozoan that is transmitted principally through having vaginal intercourse. Trichomoniasis is seen mostly in women but men can also contract it usually without having any symptoms of being infected. (Shafir, S. C., and F. J. Sorvillo, 2006). I will be discussing the factors, modes for disease transmission, methods used to control, and the treatment of Trichomoniasis. A protozoa is the smallest single-celled members of the animal kingdom Carson-DeWitt, R. M. & Frey, R. P. (2006). It infects millions of people worldwide and researchers have found that it can cause inflammation of the prostate by infection on men. When women come in contact with trichomoniasis, their symptoms consist of a foul smell, and a heavily frothy yellow discharge that comes from the vagina. The genital area also comes along with itching and pain when urinating or having sexual intercourse Carson-DeWitt, R. M. & Frey, R. P. (2006). Because men don’t usually have symptoms, they won’t realize they are infected, leaving the infection to settle in. In some states the test for trichomiasis vaginalis can be ordered from the internet free of charge to young girls and also to women of childbearing age and also to assist with finding out if they are infected and refer them to free clinics for follow up treatment...
Words: 1362 - Pages: 6
...trachomatis was discovered by scientists, chylamydia is a bacterial infection that has been said to have plagued the world for hundreds of years prior to its discovery according to The University of Oregon. Chylamydia is the most common bacterial sexually transmitted infection (STI) in the United States, surpassing gonorrhea infection with an estimated 4 million to 5 million reported cases annually to the CDC. The purpose of this study was to describe the prevelance of and risk associated with Chlamydia infection among women aged 15 to 24 . Specifically those who reported engaging in same sex behavior and attended family planning clinics in the Pacific Northwest from 1997 to 2005. This study is of great significance because “according to the 2002 National Survey of Family Growth ,11% of US women aged to 44 years reported same-sex behavior in their lifetime”( Singh et al. 2011).[1] In the Perspective On Sexual and Reproductive Health Journal there was an article published “Gonorrhea and Chlamydia Infection among Women Visiting Family Planning Clinics: Racial Variation in Prevalence and Predictors” that examined the disproportional infection rate of black women vs. that of white women and its effects on women’s health. The results of this study was that the prevalence and predictors between blacks and whites differ to significantly and that disparities among the two racial groups are not yet understood[2].Another study was done in the Perspective On Sexual Health Journal...
Words: 1129 - Pages: 5
... developed, and commercialized pharmaceutical products in late stages of development. The first product bought by Medicines was Angiomax, an anticoagulant in Phase III trials, from Biogen. This drug is a superior substitute as compared to heparin, the industry standard, because the effects of a dose are predictable, the product works better among patients at risk for bleeding, it works faster than heparin, and the drug has no immune response. Marketing was set and a sales force was assembled for Angiomax. The company also bought IS-159, a nasal spray to treat acute migranes, but more money and time was needed to change the content of the drug or prove the safety of an additive. Medicines also bought CTV-05, designed to treat bacterial vaginosis (BV), but this drug was only in Phase I clinical trials and not proven to work yet. There are three key issues facing Medicines currently. First, Medicines must decide how much above heparin Angiomax should be priced. Secondly, a product portfolio must be developed, since the company's success depends on the development of a drug pipeline. With FDA approval for Angiomax but problems with the second acquisition, it was questioned whether there was a need for a drug pipeline. Third, the Medicines faces the reality of the stock market as stocks fell when they were expected to sharply increase. This caused people to question the company's core business strategy. How should Angiomax be positioned? Angiomax should be positioned as a product...
Words: 903 - Pages: 4
...a result, but around 50% of all men are carriers. Research results showed that men with two copies of the gene mutation were 30% less likely to conceive within two years of trying. Nierenberg (2014) believes that stress is a cause for infertility. She states that one can assess the stress level by an enzyme in saliva known as Alpha Amylase. Those with higher levels indicated more stress and were twice as likely to not get pregnant within 12 months. In a study done with 501 couples with no prior infertility problems, saliva samples were taken twice. Once on their first day there and once after their first menstrual period. Results showed that 347 out of 401 couples who completed study became pregnant. Those with higher Alpha Amylase were 29% less likely to become...
Words: 963 - Pages: 4
...S C I E N T I F I C S T A T U S S U M M A R Y Probiotics This Scientific Status Summary addresses the scientific basis of the hypothesis that consumption of probiotics can positively influence human health. Product and regulatory issues are also briefly addressed. A PUBLICATION OF THE INSTITUTE OF FOOD TECHNOLOGISTS’ EXPERT PANEL ON FOOD SAFETY AND NUTRITION P robiotics are defined as live microbial food ingredients that have a beneficial effect on human health (Salminen et al., 1998). The concept of probiotics evolved at the turn of the 20th century from a hypothesis first proposed These include Bengmark (1998), Elmer et al. (1999), Fonden et al. (1999), Holzapfel et al. (1998), Lee et al. (1999), Naidu et al. (1999), Salminen et al. (1996), Sanders (1998a), Sanders and Huis in’t Veld (1999), and Tannock (1999a). by Nobel Prize winning Russian scientist Elie Metchnikoff (Bibel, 1988), who suggested that the long, healthy life of Bulgarian peasants resulted from their consumption of fermented milk products. He believed that when consumed, the fermenting bacillus (Lactobacillus) positively influenced the microflora of the colon, decreasing toxic microbial activities. The historical association of probiotics with fermented dairy products, still true today, stems from these early observations. Investigations in the probiotic field during the past several decades, however, have expanded beyond bacteria isolated from fermented dairy products to those of intestinal...
Words: 12182 - Pages: 49
...In this case, vaginal pH would be above normal postmenopausal usually pH exceeding 5 which is a positive indication of atrophic vaginitis (Bachmann & Nevadunsky, 2000). In addition, labs also confirm atrophic vaginitis. This patient is in menopause and levels of estrogen would indicate not only menopause but confirm the diagnosis of atrophic vaginitis. Serum hormone concentration would show levels of circulating estrogen at less than or equal to 4.5 (Bachmann & Nevadunsky, 2000). The labs alone confirm the diagnosis of atrophic vaginitis especially given the fact the patient is confirmed to be in menopause and atrophic vaginitis. A chlamydia and gonorrhea swab was obtained and was...
Words: 1762 - Pages: 8
...HPV Vaccine Information For Young Women - Fact Sheet [pic] Two vaccines are available to prevent the human papillomavirus (HPV) types that cause most cervical cancers. These vaccines are bivalent vaccine (Cervarix) and quadrivalent vaccine (Gardasil). One of the HPV vaccines, Gardasil, also prevents HPV types that cause most genital warts. Gardasil also has been shown to prevent some cancers of the anus, vulva (area around the opening of the vagina), and vagina. Both vaccines are given in 3 shots over 6 months. Why is the HPV vaccine important? Genital HPV is a common virus that is passed from one person to another through direct skin-to-skin contact during sexual activity. Most sexually active people will get HPV at some time in their lives, though most will never even know it. HPV infection is most common in people in their late teens and early 20s. There are about 40 types of HPV that can infect the genital areas of men and women. Most HPV types cause no symptoms and go away on their own. But some types can cause cervical cancer in women and other less common cancers— like cancers of the anus, penis, vagina, and vulva and oropharynx (back of throat including base of tongue and tonsils). Other types of HPV can cause warts in the genital areas of men and women, called genital warts. Genital warts are not life-threatening. But they can cause emotional stress and their treatment can be very uncomfortable. Every year, about 12,000 women are diagnosed with cervical cancer...
Words: 1930 - Pages: 8
...NINTH EDITION Burton’s MICROBIOLOGY FOR THE HEALTH SCIENCES Paul G. Engelkirk, PhD, MT(ASCP), SM(AAM) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biology Department Temple College, Temple, TX Janet Duben-Engelkirk, EdD, MT(ASCP) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biotechnology Department Temple College, Temple, TX Acquisitions Editor: David B. Troy Product Manager: John Larkin Managing Editor: Laura S. Horowitz, Hearthside Publishing Services Marketing Manager: Allison Powell Designer: Steve Druding Compositor: Maryland Composition/Absolute Service Inc. Ninth Edition Copyright © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business © 2007 Lippincott Williams & Wilkins, © 2004 Lippincott Williams & Wilkins, © 2000 Lippincott Williams & Wilkins, © 1996 Lippincott-Raven, © 1992, 1988, 1983, 1979 JB Lippincott Co. 351 West Camden Street Baltimore, MD 21201 Printed in the People’s Republic of China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees...
Words: 118758 - Pages: 476
...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
Words: 86687 - Pages: 347
...ACUTE GLOMERULONEPHRITIS DISCLOSED _________________________ A Case Study Presented to The Clinical Instructors AUP College of Nursing Adventist University of the Philippines __________________________ In Partial Fulfillment of the Requirements for the Course NMCN 244, Care of Mother, Child, Family and Population at Risk ___________________________ TABLE OF CONTENTS I. Introduction Significance of the Study II. Patient DataBase A. Demographic Data B. Nursing History 1. Developmental Tasks 2. Health History 3. Medical Diagnosis & Chief Complaints III. The Disease Entity A. Review of Normal Physiology B. Theoretical Background C. Statistical Report D. Risk/Aggravating Factors E. Pathophysiology Narrative w/ Documentation F. Pathophysiology Diagram G. Prognosis of Disease IV. Assessment A. Gordon’s or Head to Toe Assessment B. Book Picture vs Patient’s Manifestations V. The Management A. Diagnostic Test Result and Significant B. Therapeutic/Medical Interventions 1. Surgeries/Treatment 2. Drugs C. Nursing Initiated Interventions 1. Nursing Care Plan 2. Discharge Plan VI. General Evaluation of the Study A. Summary B. Recommendation VII. Bibliography I. Introduction Acute glomerulonephritis is a disease that affects glomerular capillaries. Etiologic factors are many and varied; they include immunologic reactions, vascular injury, metabolic...
Words: 11884 - Pages: 48
...Menstrual hygiene management is an issue that is insufficiently acknowledged and has not received adequate attention. Objective: To evaluate the knowledge and practice on menstrual hygiene among school going girls and assess access to clean, safe and private space for menstrual hygiene management in schools Problem Statement: There is lack of clean, safe and private space for menstrual hygiene purposes. Poor menstrual hygiene practices are affecting the health well being of girls including anxiety, infection, education and discomfort. In mixed day secondary schools, there are no special Water, Sanitation and Hygiene (WASH) facilities for the purposes of handling menstruation safely and in dignity Methodology: A descriptive crosssectional study was conducted as from March 2014 to April 2014 on 175 girls recruited from two mixed secondary day schools in Kisii Township. Indepth questionnaires were used to collect data from the girls, key informant interviwers conducted on the head teachers and focused discussions held with 16 randomly selected girls. An observation checklist was also used. IBM SPSS version 20 was used for analysis. Descriptive statistics; frequencies and cross tabulations were used to analyze the data. Findings: Majority (60%) of the respondents were aged between 16 and 18 years and 47% were protestants and 40% Catholics. Schools (26%) and mothers (21%) were the major sources of knowledge on menstruation. 60% of the girls...
Words: 6410 - Pages: 26
...mnemonics and cartoons in this book do not intend disrespect for any particular patient population or racial or ethnic group but are solely presented as memory devices to assist in the learning of a complex and important medical subject. We welcome suggestions for future editions. 1) Write in a conversational style for rapid assimilation. 2) Include numerous figures serving as "visual memory tools" and summary charts at the end of each chapter. These can be used for "cram sessions" after the concepts have been studied in the text. 3) Concentrate more on clinical and infectious disease issues that are both interesting and vital to the actual practice of medicine. MARK GLADWIN, MD BILL TRATTLER, MD D CONTENTS Preface v PART 1 1 2 3 BACTERIAL TAXONOMY CELL STRUCTURES, VIRULENCE FACTORS, and TOXINS...
Words: 117402 - Pages: 470
