see attachment
Case Scenario 1
Table 1
Table 2
Infec&on Descrip&on Presenta&on Causes/
Risk
Factors
Treatment
per CDC
Addtl
info
Candida
BV
Chlamydia
Gonorrhea
Trichomonas
Cervici&s
PID
HIV
Syphilis
Hep B
Hep C
HSV
Ques&on Answer
Name 10 Risk Factors for contrac&ng
STI’s and HIV
Name 5 safer sex prac&ces
Can HIV be transmiNed through sweat,
saliva, and tears? (Include ra&onale)
Lisa is a 19-year-old female who presents to the clinic c/o abnormal vaginal
discharge for one week aUer having unprotected vaginal intercourse with a new
male partner she has been da&ng for a couple of weeks. Lisa’s pregnancy test is
nega&ve and her LMP was 2 weeks ago. As her health care provider, you will need
to perform tes&ng to determine if Lisa has contracted a sexually transmiNed
infec&on or other vaginal infec&on.
Write a brief SOAP note regarding this pa&ent. Make sure to include your answers
to these ques&ons in your SOAP note.
1. Subjec&ve:
a. What other relevant ques&ons should you ask regarding the HPI?
b. What other medical history ques&ons should you ask?
c. What other social history ques&ons should you ask?
2. Objec&ve:
a. Explain what POCT will you order and perform, and discuss your
ra&onale for ordering and performing each test.
3. Assessment/ Diagnosis:
a. What would be an appropriate diagnosis for her? Why?
b. Any other diagnosis or differen&al diagnosis you would like to add?
4. Plan:
Name 2 types of intercourse are at the
highest risk for contrac&ng HIV
Why are women more suscep&ble to
HIV in a male to female rela&onship
(versus a male contrac&ng it from a
female)?
a. What will you prescribe for this pa&ent? Why? (assume one of your
lab test results is posi&ve), Explain what medica&ons and treatments
you would recommend
b. Explain treatment guidelines and side effects including any possible
side effects of the medica&on and treatment(s), partner no&fica&on,
and follow-up plan of care.
c. What pa&ent educa&on is important to include for this pa&ent?
(Consider when can the pa&ent resume sexual ac&vity)
d. Explain complica&ons that can occur if pa&ent does not comply with
treatment regimen.