Can any one help? -

[ArchivalUser]

Dr.Syed

Hello,
In a case of vaginal discharge and the finding ofP/R exam is given to U and U are told that the pt has trichomonas vaginalis.My qs is in that case also should we hv to go from the very begining by asking her gynaecological history and her sexual history and PAM HUGS FOSS but she is asking u to discuss the wet prep finding for which she is here?

[ArchivalUser]

Dr.Syed

I am sorry it's P/V examination finding?

[ArchivalUser]

doc

Hi dr.syed,
I had exactly the same case on my pipe & i dont know what i did....i didn't do any exam,took no history apart from her sexual hx & left the room feeling lousy ! I didn't examine her,cuz,she said she came in yesterday,also got the test done....she's in only to discuss her wet prep findings..I'm still confused as to what i shud've done.

[ArchivalUser]

sdeh

Are we required to diagnose patho'/micro slides too?

[ArchivalUser]

justme (ORIGINAL)

Doc, when was your exam? It might be part of the new format.

[ArchivalUser]

justme (ORIGINAL)

Doc, sorry I just realized it was PIPE you where talking about.

[ArchivalUser]

female doc

I just came across a similar case in one of my CDs , according to that, PAMHUGSFOS is not required. A thorough sexual history with education about contraceptive methods, treatment of the partner, therapeutic trial with metroniddazole,importance of pap smear, and vaginal culture should be advised.
Among the DDs, also consider bacterial vaginosis and other STD. Abdominal examination should be done.

[ArchivalUser]

justme (ORIGINAL)

Well yea, but how do you address the pt's question about coming back to discuss the results of wet prep?

[ArchivalUser]

sdeh

I think we have to tell her the diagnosis.

[ArchivalUser]

justme (ORIGINAL)

ofcourse, we just discuss treatment since eveything else is already done for us.