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