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Approaches To Disease Management 500

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Nursing
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Approaches to disease management
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Approaches to disease management
Case summary
A 6-year-old has a yellow vaginal discharge. The examination is otherwise normal.
Question: What are the key points in the history and physical examination?
The vagina has the specifications of being moist, and therefore the expected discharge
should be standard. Typical vaginal discharge in young female children usually is clear, slightly
yellow and odorless. Persistent vaginal discharge with slight color and abnormal smell are
changes that may indicate urinary tract infection (De Guzman et al., 2018). A six-year-old
patient is assessed for genitourinary tract infection since the patient has developed the secondary
sexual characteristics that can make sexually transmitted infections to be of excellent concern
Assessment of the child's history include questions about their chief complaint that brought them
to the health facility, present health status, past medical and surgical history assessment and
assessment of immunization status. Schooling behavior of the child and interactions with the
friends at schools is also assessed to indicate any deviation in the child's social behavior.
Physical examination of a child of this age includes a head-to-toe analysis and taking of
key measurements like vital signs and weight of the child (De Guzman et al., 2018). Assessment
of genitals consists of development and functionality test. Any abnormality in discharge from the
genitalia is also assessed.
How would you approach differ if the patient were a sexually active 16-year-old?
An adolescent physical examination and history taking are quite tricky based on the
nature of their development. They require maintenance of privacy and confidentiality to relieve

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1 Approaches to disease management Name Institution affiliation Course Tutor Date 2 Approaches to disease management Case summary A 6-year-old has a yellow vaginal discharge. The examination is otherwise normal. Question: What are the key points in the history and physical examination? The vagina has the specifications of being moist, and therefore the expected discharge should be standard. Typical vaginal discharge in young female children usually is clear, slightly yellow and odorless. Persistent vaginal discharge with slight color and abnormal smell are changes that may indicate urinary tract infection (De Guzman et al., 2018). A six-year-old patient is assessed for genitourinary tract infection since the patient has developed the secondary sexual characteristics that can make sexually transmitted infections to be of excellent concern Assessment of the child's history include questions about their chief complaint that brought them to the health facility, present health status, past medical and surgical history assessment and assessment of immunization status. Schooling behavior of the child and interactions with the friends at schools is also assessed to indicate any deviatio ...
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