Reference no: EM133444514
A 21 year old girl comes in to your office for a well visit/annual exam. She is otherwise healthy and a junior in college studying nursing. She takes no medications, drinks socially, doesn't smoke anything or use illicit drugs. She currently has no symptoms: no pain with urination/sexual activity/vaginal discharge.
She is sexually active. She occasionally uses condoms and is taking a combined estrogen/progesterone OCP for contraception. She has had four male partners in the last year and has been pregnant once, with an abortion at age 19. She does not think she has had a pap smear, although she did have pelvic exams as a teen. She was not vaccinated against HPV because "her parents didn't believe in it".
What now? Is she due for a pap smear or any other screening tests? If so what other tests might you order and why and would you do a pap smear today?
What is a pap smear? What is it short for and who were they?
How would you talk to her about best sexual practices? I.e. condoms, STDs screening, pregnancy prevention, etc..
What would your discussion be regarding HPV vaccination at this point?
When would you see her back? In a year or sooner? Would you call her with her test results or make her come back in?