A 30-year-old paralegal analyst comes to your clinic, compla…
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal discharge with some mild itching, present for about 3 weeks. She tried douching but it did not help. She has had no pain with urination or with sexual intercourse. She has noticed the smell increased after intercourse and during her period last week. On speculum examination a thin gray-white discharge is seen in the vault. The pH of the discharge is over 4.5 and there is a fishy odor when potassium hydroxide (KOH) is applied to the vaginal secretions on the slide. Wet prep shows epithelial cells with stippled borders (clue cells). What type of vaginitis best describes her findings?
Read DetailsA 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28…
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. On her arrival at the hospital, which diagnostic procedure will the client most likely have performed?
Read DetailsMandy, age 32, has reached the 3rd trimester of her pregnanc…
Mandy, age 32, has reached the 3rd trimester of her pregnancy. The nurse practitioner is educating Mandy about common changes that occur during pregnancy. She tells Mandy cardiac output increases from 30% to 50% by the 32nd week of pregnancy. What is the rationale for this change?
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