Patient Assessment in Pharmacy by Richard Herrier & Dave Apgar & Robert Boyce & Stephan Foster

Author:Richard Herrier & Dave Apgar & Robert Boyce & Stephan Foster [Herrier, Richard]
Language: eng
Format: epub
Publisher: McGraw-Hill Education
Published: 2014-12-23T08:00:00+00:00

• KEY REFERENCES

1. Bremnor JD, Sadovsky R. Evaluation of dysuria in adults. Am Fam Physician. 2002;65:1589-1596.

2. Hainer BL, Gibson MV. Vaginitis: diagnosis and treatment. Am Fam Physician. 2011;83:807-815.

3. Ilkit M, Guzel AB. The epidemiology, pathogenesis and diagnosis of vulvovaginal candidosis: a mycological perspective. Critic Rev Microbiol. 2011;37:250-261.

4. Donders G. Diagnosis and management of bacterial vaginosis and other types of abnormal vaginal flora: a review. Obstet Gynecol Survey. 2010;65:462-473.

5. McClosky CR. Updated office testing skills for vaginal infections. Nurse Pract. 2010;35:46-52.

6. Mylonas I, Bergauer F. Diagnosis of vaginal discharge by wet mount microsopy: a simple and underated method. Obstet Gynecol Survey. 2011;66:359-368.

7. Borhart J, Bimbauer DM. Emergency department management of sexually transmitted infections. Emerg Med Clin North Am. 2011;29:587-603.

8. Anonymous. Sexually transmitted diseases treatment guidelines, 2010. MMWR. 2010;59:1-109, RR-12.

9. Lane DR, Takhar SS. Diagnosis and management of urinary tract infection and pyelonephritis. Emerg Med Clin North Am. 2011;29:539-552.

10. Hooton TM. Uncomplicated urinary tract infection. N Engl J Med. 2012;366:1028-1037.

CASE 16.1

Doris Daye, a 52 year-old patient, presents to clinic with a chief complaint of dysuria and vaginal discharge. She also has a nonspecific rash over a large area around her groin. She takes Lo-Ovral, an oral contraceptive. Her recent medical history includes type 2 diabetes mellitus, and since she was divorced last year, she has had multiple sexual encounters with different partners.

a. List three potential causes for her dysuria and vaginal discharge. Explain your rationale.

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