- The patient is a 19-year-old Asian American woman who presented with a non-tender genital sore that had resolved without treatment, as well as maculopapular lesions on her body. - The most likely diagnosis is genital herpes, followed by syphilis and chancroid. Genital herpes is most common and matches her symptoms. - Treatment for genital herpes would be acyclovir 400mg three times daily for 10 days. Education should focus on preventing transmission through physical barriers and behavioral changes.

1. Discussion week 4 womens Health Essay.
Discussion week 4 womens Health Essay. The Centers for Disease Control and Prevention
estimates that there are 19 million new cases of sexually transmitted infections every year
in the United States (CDC, 2010b). STIs may present serious health implications for infected
patients—especially for those who are unaware of their health condition.Discussion week 4
womens Health Essay.ORDER A PLAGIARISM-FREE PAPER HEREStudies show that women
are not only at greater risk of contracting these infections, but they also tend to have more
severe health problems resulting from infections than men (U.S. Department of Health and
Human Services, 2009b). As an advanced practice nurse, you must educate female patients
and emphasize the importance of prevention and STI testing for all women regardless of
marital status, race, ethnicity, or socioeconomic status. For this Discussion, consider STI
education strategies for the three patients in the following case studies:Case Study
1:Discussion week 4 womens Health Essay.A 19-year-old Asian American female comes into
the clinic for a well-woman checkup. She states that about three weeks ago she had a non-
tender sore on her labia that resolved without treatment. Her gynecologic exam is normal
but she has maculopapular lesions on her trunk, neck, palms, and soles of her feet. The
remainder of her exam was unremarkable.Post an explanation of the differential diagnosis
for the patient in the case study you selected. Provide a minimum of three possible
diagnoses, and list them from highest priority to lowest priority. Explain which is the most
likely diagnosis for the patient and why. Then, explain a treatment and management plan
for the patient, including appropriate dosages for any recommended treatments. Finally,
explain strategies for educating patients on the sexually transmitted infection.Primary
answer syphilis, Herpes simplex virus, and chancroid. Please only use peer review articles
less than 5 years old or National institute of health or American family physician
website.Discussion week 4 womens Health Essay.Case Study: Non-Tender Genital Sore in a
19 Year-Old WomanSexually transmitted infections or STIs are a major cause of morbidity
in the United States. This is why the Centres for Disease Control and Prevention (CDC) has
provided, just as for other disease groups, guidelines on how sexually transmitted infections
should be managed and prevented. Almost all of these infections have classic presentations
that distinguish them from the others, however subtle. Their treatment, on the other hand,
comprises of the commonly available antimicrobials and antiviral pharmacologic
preparations. Prevention, however, is centred on educating the patient on behavior change
on the sexual front. This paper looks at the case study of the 19 year old Asian American
woman who had an ulcer on her labia.The case study reveals that the woman had the lesion

2. several weeks ago, but also that it resolved itself. Apart from that, she also had
maculopapular lesions on her palms, her neck, the soles of this feet, and on her trunk.
However, it is instructive to note that this woman did not come to the clinic because she
was sick. As a matter of fact, she only came for a routine check up at the well-woman clinic.
But from the history and physical examination of this patient, what is immediately obvious
is that she is suffering from a sexually transmitted infection (STI). There are many sexually
transmitted infections that present with a genital ulcer. Some of them are quite common
while others are rare. This is according to the epidemiological studies that have been done
on the same. Amongst the possible conditions falling under sexually transmitted infections
and causing or presenting with a genital ulcer are chancroid, syphilis, and genital herpes
(Hammer & McPhee, 2014; Huether and McCance, 2017; Barrell, 2017). It is therefore these
very same three sexually transmitted infectious conditions that form the differential
diagnoses for this young woman. In order of importance and probability, genital herpes
comes first followed by syphilis and then chancroid (Barrell, 2017; Huether & McCance,
2017). The most likely diagnosis for this woman is therefore genital herpes. Discussion
week 4 womens Health Essay.This is the primary diagnosis. The first differential diagnosis
is syphilis and then the second is chancroid. The reason why genital herpes is the most
likely diagnosis for this young woman is because it has the highest prevalence among
genital ulcer causing STIs (Barrell, 2017; Huether & McCance, 2017).Genital herpes is the
most common cause of genital sores in the United States (Barrell, 2017). It is caused by the
herpes simplex virus which exists in two strains known as HSV-1 and HSV-2. For some
reason, HSV-2 is more prevalent than HSV-1. In the United States alone, more than fifty
million people have genital herpes. Ninety percent of these are carriers of the genital
herpes. As a result, they show no symptoms at all. Genital herpes is not curable and one
lives with it for life after contracting it. Usually, within two to four weeks the genital herpes
ulcer in the genitalia heals by itself (Barrell, 2017). In her response to the history taking
questions, the 19 year-old had said that the labial ulcer she had actually healed on its own.
Syphilis is caused by the bacterium Treponema pallidum (Barrell, 2017; Huether &
McCance, 2017). This is called primary syphilis. If it is not treated, it progresses later on to
secondary syphilis which is dangerous for the level of morbidity. Lastly, chancroid is caused
Haemophilus ducreyi (Barrell, 2017; Huether & McCance, 2017).Discussion week 4 womens
Health Essay.Treatment and ManagementAs has been mentioned above, these conditions
can all be managed by pharmacotherapeutic agents that are readily available and approved
for that use by the Food and Drug Administration or FDA. The sexually transmitted infection
that is genital herpes ca not heal completely but can be successfully managed by taking
these drugs. Thus the standard treatment of genital herpes is acyclovir (Zovirax). This
treatment is taken orally at a dose of 400mg three times a day for ten days. If acyclovir is
not available for whatever reason, famcyclovir (Famvir) is the next best option in treating
the genital herpes (Barrell, 2017; Katzung, 2018). However, in the event that it turns out
that it is syphilis, the standard recommended treatment is penicillin. For this, a single STAT
dose of benzathine penicillin G is given. It is administerred at 2.4 mega units as a deep
intramuscular injection (Barrell, 2017; Katzung, 2018). Lastly, if the ypung woman's STI
turned out to be chancroid, the treatment she would get would be ceftriaxone

3. (Rocephin).Discussion week 4 womens Health Essay. This would be given as a single STAT
dose of 250mg intramuscularly. But if ceftriaxone is unavailable, the next best option is
ciprofloxacin (Cipro) (Barrell, 2017; Katzung, 2018). For this treatment to be effective,
however, it has to be accompanied by by patient education on prevention. This is aimed at
preventing transmission of the organisms that spread the STIs.Patient Education on
Sexually Transmitted InfectionsThese centre on putting up physical barriers to prevent the
microbes from spreading from one person to another. The other modality these centre on is
behavioral change on matters sex. Therefore, the particular measures are wearing a
condom to bar spread from one person to another, wearing a condom even when the ulcer
is not there, not engaging in sex at all (even with a condom) when the ulcer is present, and
avoiding oral sex especially if lesions are present in the mouth (Barrell, 2017).Discussion
week 4 womens Health Essay.