Treatment of Gonorrhoea - Essay Example

?Gonorrhoea Patient details: Female. 25 years old. Examined at: 15:30 Global Over View: The service received the call from the patients’ home address, when the patient (pt), had phoned complaining of abdominal (abdo) pain and vaginal discharge. I met the patient outside of her home address, when she was waiting for the ambulance. On arrival, the patient appeared anxious to get on to the ambulance. Once on board, the pt who was from Romania explained in good English that she has been having lower abdo/ pelvic/ vaginal pain whilst urinating from the past week, she has also noticed that she had a creamy coloured discharge Per Vaginal (PV), This has a odor to it. She also explained that she had had no Per Vaginal Bleeding (PVB), and did not believe that she was pregnant even though she did practice unprotected sex with her new boyfriend. Before this, she had had several casual sexual relationships, again those were unprotected. Her last menstrual cycle was two weeks ago and was normal. The patient has not taken any analgesia during this time; no reason was given for this. She is not registered with a G.P at present due to a recently moving into the area from another part of the UK. The pt’s breathing was calm and she did not look flushed or was she warm to touch and appeared well perfused. She has not had any episodes like this before. Her urine was in normal color, according to her and she has noticed no haematuria. Pain was described as sharp and burning when urinating. She has also mentioned that she has had a sore throat for the past three days. PC: Lower abdo/ pelvic/ vaginal pain on urination. Vaginal discharge HxPC: Lower abdominal/ vaginal pain on urination for past week. No history of trauma. PMH: Nil. No known allergies. DHx: Nil. SHx: Lives alone in flat. Barmaid Smoker- 15 cigarettes a day. Social drinker- 10-12 unit’s a week. Romanian lived in UK for one year, very good English. Sexual Hx: Sexually active since nineteen. Multiple sexual partners in the past few years. Safe sex was not practiced. Hx of previous partners is not known. Engage in Vaginal sex only. No use of foreign bodies (FB), in vagina. FHx: Boyfriend. Family lives in Romania. No known gynecological problems. Respiratory system: RR 16BPM. No DIB/ SOB Complete sentences in one breathe Clear bilateral air entry in all lobes Cardio Vascular system: Radial pulse in both arms of 85 regular. SpO2 99%. BP 110/75 sitting. Cap refill Read More