Question

Patient Y, age 37, presented to the clinic today with vague complaints of “just not feeling well”. She eventually

admitted that the real reason for her visit was to be screened for a sexually transmitted infections (STIs)

because she had recently noticed a vaginal discharge.

1. What additional information would be helpful?

She reports that the discharge started several weeks ago, and she has also had some vaginal bleeding,

but usually only after intercourse. She denies multiple partners at this time although she has had

“several” in her past. She was treated for vaginal warts 5 or 6 years ago, but had not had any problems

since then. Her last Pap smear was about 3 years ago, and they wanted to repeat it in 6 months, but she

never got around to going back.

2. What does the nurse suspect at this point and why?

3. In addition to the history of HPV, what are some other risk factors associated with cervical

cancer?

4. How will a diagnosis of cervical cancer be performed?

Answer 1

Answer: The addtional information should be included such as is there any kind of burning sensation, or number of partners the patient is involved with.

There could be risk of development of cervical cancer. The data reveals that the patient may have the cervical cancer.

The diagnosis of cervical cancer can be performed with the help of pap smear.

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