Reference no: EM132947030

R.S. is a 32-year-old Caucasian 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 bi-weekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms.

The 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

Question 1: List specific goals of treatment for this patient.

Question 2: What drug therapy would you prescribe? Why?

Question 3: What are the parameters for monitoring the success of the therapy?

Question 4: Discuss specific patient education based on the prescribed therapy.

Question 5: List one or two adverse reactions for the selected agent that would cause you to change therapy.

Question 6: What would be the choice for second-line therapy? Provide rationale

Question 7: What OTC or alternative medications would be appropriate for this patient?

Question 8: What dietary or lifestyle changes should be recommended?

Question 9: Describe one or two drug-drug or drug-food interaction for the selected agent.