Sexually Transmitted Infections

SexuallyTransmitted Infections

SexuallyTransmitted Infections

Sexuallytransmitted infections have become a major problem in the currentsociety, and when a patient fails to be diagnosed and treated intime, it may lead to some serious complications, such as infertility,fetal wastage, anogenital cancer, ectopic pregnancy, and prematuredeath [ CITATION Fra01 l 1033 ].

ADifferential Diagnosis for the Patient in the Case Study

Sincethe patient has shown signs and symptoms suggesting that she has anSTI, she can go for laboratory tests that can be used to identify thecause and detect co-infections that she might have contracted. Thepatient should consider a different diagnosis since her gynecologicexam showed normal results [ CITATION Jul06 l 1033 ].

MostLikely Diagnosis for the Patient

Themost likely diagnosis and treatment plan for the patient wouldinclude a range of three tests blood samples, urine samples, andfluid samples. The blood test is used to confirm whether the patienthas early symptoms of HIV or whether they have later stages ofsyphilis. A urine sample is used to confirm some STIs that cannot beconfirmed using a blood test. Fluid samples are effective,especially, when diagnosing women. Fluid sample testing seems to bethe perfect diagnosis for the patient, in this case study, since shehad symptoms, like non- tender sores and maculopapular lesions on hertrunk, neck, palms, and soles of her feet [ CITATION Raw02 l 1033 ].

Treatmentand Management Plan for the Patient

Thetreatment and management plans for patients with STIs depend onwhether they are caused by bacteria or viral infections. BacterialSTIs are easier to treat than viral infections since, in most cases,viral infections can only be managed and not cured. From the symptomsportrayed by the patient, show that she has a bacterial STI, whichcan be cured using antibiotics

Strategiesfor Educating Patients on the Treatment and Management of STIs

Allpatients should be given appropriate information regarding theprevention and recognition of STIs so that they can be able torecognize them. Such a strategy is effective in making sure that thepatients can seek medical advice in time. The second strategyinvolves helping the patients understand that they should seekmedical advice as soon as they notice the symptoms so as to bediagnosed and given proper treatment. Treatment and managementstrategies help the patient to understand that they should follow upwith medications such as antibiotics and anti-viral drugs [ CITATION Sha02 l 1033 ].

References

Lori, F. (2001). Structured Treatment Interruptions for the Management of HIV Infection. The Journal of the American Medical Association , 2981-2987.

McKay, J. (2006). Lessons for Management of Sexually Transmitted Infection Treatment Programs as Part of HIV/AIDS Prevention Strategies. American public health association , 1760-1761.

Peeling, R. (2002). Rapid tests for sexually transmitted infections (STIs): the way forward. Medical journal , 50-61.

Walmsley, S. (2002). Can Structured Treatment Interruptions (STIs) Be Used as a Strategy to Decrease Total Drug Requirements and Toxicity in HIV Infection? . Sage , 95-103.

Sexuallytransmitted infections

SexuallyTransmitted Infections

CaseStudy 1: A19-year-old Asian American female

Differentialdiagnosis

Adifferential diagnosis is based on the symptoms of infections whichproduce indications that are closely related to each other,especially the maculopapular rash on the trunk and the extremities.For Pityriasis rosea, the rash resolves spontaneously within 6-8weeks. Viral exanthems also produce similar rashes althoughwidespread throughout the body. Additionally, syphilis is also knownto cause the development of this type of rash especially on the palmsand soles as it progresses.

PossibleDiagnosis by Priority

Themost likely diagnosis is syphilis, followed by Pityriasis rose andthen viral exanthema.

Explanationof the diagnosis

Thisconclusion is based on the characteristic signs and symptomsportrayed in syphilis progression from a painless non-itchy chancreon the site of infection during the primary stage followed by asecondary phase described by a reddish-pink rash (maculopapular orpustular) on the trunk and also the palms and soles [ CITATION Wom15 l 1033 ].

Treatmentand management plan

Therecommended treatment regimen for this sexually transmitted diseaseis benzathine penicillin G, which is administered by a single doseintramuscular injection. On the other hand, tetracycline anddoxycycline can also be given in cases of allergic reactions topenicillin, however, the two are not recommended for pregnant women(Schuiling&amp Likis, 2013).Late infections can be treated by using a once-weekly intramuscularinjection of penicillin G for three weeks. During the treatmentprocess, the patient should not engage in any sexual activity untilthe sores and lesions have healed completely [ CITATION Cen161 l 1033 ].

Strategiesfor Educating Patients

Patienteducation is founded on the prevention of spread and avoidingconsequent infection. Concerning these objectives, the patient has tobe informed of the best ways of prevention, including proper use ofcondoms, abstinence, and faithfulness to one partner. Secondly, theimportance of coming with the partner for testing and treatmentshould be emphasized. The significance of completing the prescribedmedication should also be stressed and in the case of pregnancy, thepatient must be sensitized to inform the healthcare provider so thatcongenital transmission can be prevented [ CITATION Cen161 l 1033 ].

References

Centers for Disease Control and Prevention. (2016, May 20). Syphilis – CDC Fact Sheet. Retrieved from Centers for Disease Control and Prevention: http://www.cdc.gov/std/syphilis/stdfact-syphilis.htm

Schuiling, K. D., &amp Likis, F. E. (2013).&nbspWomen`s gynecologic health. Sudbury, Mass: Jones &amp Bartlett Learning.

Women`s Health. (2015, November 18). Syphilis . Retrieved from Office on Women`s Health: http://womenshealth.gov/publications/our-publications/fact-sheet/syphilis.html