Patient Known Genital Question & Answer Guide (With Explanation)
This question focuses on applying theory to practical scenarios.
What This Question Is About
This question relates to patient known genital and requires a structured academic response.
How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
This topic involves patient known genital. A strong answer should include explanation, application, and examples.
Original Question
CC: Patient has known genital herpes with one historical outbreak. Comes to clinic today believing she is having another outbreak. S: Wendy was first diagnosed with herpes two years ago. The primary herpes outbreak included fever, flu-like symptoms and painful, inflamed labia with classic herpes rash. During the primary outbreak, she suffered from herpetic anuresis and was catheterized in the office. She comes to the office today with painful genital lesions following a one-day prodrome that she now recognizes as an early sign of a herpes outbreak. O: Caucasian female, anxious, but in no acute distress. Visual inspection of the external vulva and speculum exam of the cervix reveals vesicular lesions scattered on the left side of the vulva and perineum with erythema and mild swelling of tissues. No involvement of the anus or cervix. A: HSV, genital, recurrent. P: Acyclovir 400mg 5 times a day for 5 days. I reassured Wendy that the second time herpes sufferers have more mild symptoms, they will usually hurt less and not be as bad as the first time. I also advised her that recurrent herpes often starts with a burning or itchy feeling one to two days before a skin rash begins and that is the best time to seek treatment or take medication. I also provided Wendy with a standing prescription for valacyclovir, with 2g to be taken twice in one day during prodromal stage with recurrence of symptoms. TOTAL TIME SPENT WITH PATIENT: 22 minutes
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