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Vaginal Lesions Case Study

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Vaginal lesions can be of different origins, such as herpes, syphilis, and chancroid. A diagnosis of this condition necessitates a comprehensive assessment of the patient to include family history. A focused history of the presenting illness should be performed, along with a health history, social and family history. More importantly, a thorough sexual history should be taken. The patient should be interviewed alone to provide privacy and increase her ability to provide honest answers to questions asked. The patient should be questioned about the number of sexual partners that she’s had as well as her symptoms, and whether she has practiced safe sex at all time. According to Neinstein (2008), HSV can bring about symptoms of malaise, fever, headache, myalgia, dysuria, dyspareunia, itching, burning at the site of infection; thus the patient should be asked about these signs and symptoms. HSV can be passed to babies at birth. Therefore, it would be valuable to know if there is a family history of HSV from either sides. I have interviewed patients who claimed to be virgins, …show more content…

The external genitalia will be assessed for lesions and ulcers. Herpetic lesions usually appear in the form of vesicle. Due to the age of the patient, no pap-smear is indicated. However, a vaginal swab would be obtained to assess for sexually transmitted infections (STIs), particularly HSV 1 and 2. However, Neistein (2008) stated that a PCR is the preferred method of testing for a woman with vaginal lesions. A PCR for syphilis and chancroid. The patient will also be tested for other STIs such gonorrhea, chlamydia, and HIV. Women who test positive for HSV2 have a three-fold chance of having HIV than their non-HSV positive cohorts (Neistein, 2008). The patient and her boyfriend will be counseled about risky behaviors and how to prevent future infection by using condoms or abstain from sex. They boyfriend will be encouraged to seek medical care as

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The men were told that they were ill and promised free care. Offered therapy on a golden platter, they became willing subjects”.(Ogunburg) One of the main ethical issues that was raised in this film and through this study was that the participants were not informed that they had syphilis and what syphilis was. “Deceiving people is unethical” (Babbes, Rubin, 2011, pg. 83) and throughout the study, the participants were being treated unethically because the researchers and the doctors deceived the men into thinking syphilis was treatable and not as serious as it really was by minimizing the impact syphilis had on their bodies. Due to lack of education and economic status the participants in this study were easy to influence.

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When conducting this evidence, a lot of precautions needed to be taken but in this particular case they were not taken. The participants in this study were told they were receiving treatment for their bad blood. This was used as a form of deception. They were told they were being observed for the effects untreated syphilis on their bodies in the second stages. The reality is none of the individuals received penicillin which was used as one of the effective treatments for syphilis disease.

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According to the Centers for Disease Control and Prevention (2012), “Among sexually-active women aged 16–24 years in commercial plans, chlamydia screening increased from 23.1% in 2001 to 45.0% in 2011. During the same time period, the screening rate among sexually active women aged 16–24 years covered by Medicaid increased from 40.4% to 58.0%. Although chlamydia screening is expanding, many women who are at risk are still not being tested reflecting, in part, the lack of awareness among some health care providers and the limited resources available to support these screenings” (n.p.). Getting tested for chlamydia requires attention and awareness on the part of medical personnel, but it also goes into the willingness of a patient to discuss their sexual history, including how many partners they have had and if they, or those partners have ever had an STD in the past. This would also provide the perfect platform to talk about the severity of the situation and to clear the air about any myths and not to lean on Google or WebMD to educate or protect the patient’s life.

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