Week 12 Discussion: Vaginitis
R.S. is a 32-year-old woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a biweekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms. The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.
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Diagnosis: Bacterial Vaginosis
1. List specific goals of treatment for this patient.
2. What drug therapy would you prescribe? Why?
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3. Discuss specific patient education based on the prescribed therapy.
4. List one or two adverse reactions for the selected agent that would cause you to change therapy.
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5. What OTC or alternative medications would be appropriate for this patient?
6.What dietary or lifestyle changes should be recommended?
