Contrast clinical experience to textbook presentation

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Reference no: EM133816429

Question

Compare and/or contrast the clinical experience to a textbook presentation, recommendation, or guideline, and/or provide other evidence-based guideline recommendations that are also relevant for that particular episodic visit. Support your replies with citations and references in APA (7th edition) format. Pose at least one question regarding the differential diagnoses, diagnosis, and/or treatment of the episodic visit General: Bowel sounds present. No masses. Abdomen is tender bilateral lower quadrants. Genital: Mirena IUD placement intact with appropriate string length and location. Extreme tenderness noted on bimanual exam. With cervical motion tenderness. Yellow purulent drainage around the vaginal opening, within vaginal canal and on cervix. Vaginal wall and cervix are erythematous and inflamed. Results: IUD strings present and appropriate length Vaginal Swab for STI screen: Positive for Chlamydia CBC: WBC's 13,000, additional values WNL Serum Hcg: Negative Plan: 1.Chlamydia: Start doxycycline 100mg orally twice per day for seven days. Take the full course of antibiotics even if you start feeling better before finishing the medication. Stopping treatment early can cause the infection to come back. Avoid alcohol while taking doxycycline as it can interfere with the effectiveness of the medication. Ceftriaxone 500mg intramuscular once today in clinic Sexual Abstinence - Avoid having sex.

Reference no: EM133816429

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