What are the potential causes

Reference no: EM133587003

Assignment:

Please help with this case study.

R.S. is a 32-year-old woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a biweekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms. The physical physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5

Diagnosis: Bacterial Vaginosis

What are the potential causes and risk factors this patient has?
What would you consider first-line pharmacological treatment for the patient and why? Please write the order for the treatment as a prescription. Please provide rationale for your choice of treatment.
List one or two adverse effects to the therapy you recommended in question #1.
Are there any adverse effects that would cause you to change therapy, if so, please explain?
If your first-line agent were unsuccessful or a significant adverse drug event occurred, what would be your second-line pharmacological treatment for the patient and why? Please write the order for the treatment as a prescription. Please provide rationale for your choice of treatment.
Discuss specific patient education based on both your first- and second-line choices.

Reference no: EM133587003

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