HISTORY:
Painful genital for
Location:
, ,
, up to °, over
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Abdomen: , , ,
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
Genital: , testicles , penis
Skin:
ASSESSMENT:
DDx:
PLAN:
- HSV swab
- STI screening for chlamydia and gonorrhea
- Blood work: , , , ,
- Urinalysis
- Urine culture
-
-
-
- Topical lidocaine for pain relief
- Abstinence during outbreaks and when symptoms present
- Counseling on condom use, advise to inform partners of transmission risk even with condom use
- Referral to gynecologist
- Referral to urologist
- Referral to infectious disease specialist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as fever
- Go to ER if severe pain, inability to urinate, or systemic symptoms occur