Pap smear write up (GYN)

GYN (pap smear) write up at family practice clinic

S: vag. d/c, results of last pap smear

Vagina: ext. structures WNL. vag vault pink c thin whitish d/c Cx c redness noted @ 2 '0' clock position. No CMT or adnexal tenderness.

Ut: normal size and normal consistency; ovaries: ovoid s masses.

Rectal: no guiaic, no hemorrhoids. Wet mount + KOH: + for clue cells, hyphae seen

A/P: bacterial vaginosis:

metrogel 0.75% x 5 d intravag

labs for vag. culture

pap if atypia refer to GYN for colposcopy.

Health maintenance: reinforce condom usage, labs @ baseline