Assessing the Genitalia and Rectum
Most patients are ordinarily afraid of talking about their sexuality, especially their genitalia and the rectum. It may be due to the fear of being overstated, especially when the doctor is of the opposite gender. The genitalia refers to the male or the female reproductive organs. Like any other part of the body, the genitals are also subjected to various diseases that are so dangerous to humans. Therefore, there’s a need for a regular checkup to ascertain how the genitalia’s health is.
The age, sex, and race of the patients are some of the information considered during analyzing genitalia and rectum. For instance, a 21-year-old WF college student reported having a painless and rough external bump on her genitalia area. Irrespective of this, she was sexually active. She didn’t know how long this bump had been in her genitalia, but she suggested to have noticed it a week ago. Based on the fact that she had undergone medical test 3 years, with no dysplasia obtained, however, two years ago, she was diagnosed with Chlamydia, one of the STI diseases. Still, she completed her prescribed treatment (Ball et al., 2017). The patient was also asthmatic, and she was successful in treatment with proper medication. She had no breast or cervical cancer. No smoke record, and she was a mother of three children. Therefore, this patient suffered from STI, Chlamydia, which she had previously. This is because she didn’t complete her treatment before resumption into sex with her partner.
The patient had a temperature of 98.6, and she had no murmurs in her heart. The chest wall was well symmetrical. In her genital, the female hair part distribution was normal, with no masses or swelling, no discharge from her urethral meatus. The perineum was intact, and rugae were present with a pink and moist vaginal mucosa. A rounded small, and unproblematic ulcer was renowned on her external labia (Calvo et al., 2020). Due to these symptoms, she was diagnosed with HSV, an STI most common among females. Therefore, it is so important to analyze some of these core factors.
The assessment is partly supported by subjective and objective information. A chancre is an STI that causes painful open sores or chancroids to develop in the genitalia (Shetty et al.,2021). However, chancre sores are usually excruciating for men, but they typically are less painful and less noticeable in women. Therefore, it would be essential to conduct a diagnosis to determine whether the patient suffers from chancre. The doctor should ask the patient concerning their symptoms, sexual history, and travel history. Then the doctor should diagnose for chancre symptoms by testing negative for other symptoms.
The diagnosis is suitable in this case and because the patient has symptoms similar to those of chancre. Because, first, for effective diagnosis of the chancre, there is a need for the doctor to identify the presence of H. decree in fluids from the ulcers (Jacobson et al.,2021). Secondly, the doctor asks the patients questions about their symptoms, sexual history, and travel history. Thirdly, the patient should reveal the records of past STI diseases. Because most of these diseases have a high tendency to repeat themselves, they may come back again after some time.
Therefore, the genitalia and the rectum health are of so much concern. Persons should be alert by regularly checking on their sexual organs and reporting to a medical specialist for diagnosis and treatment in case of any unusual bumps in their genital regions and rectum.
REFERENCES
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2017). Seidel’s Guide to Physical Examination-E-Book: An Interprofessional Approach. Elsevier Health Sciences. https://mdstad.com/sites/default/files/webform/job_application/_sid_/pdf-seidels-guide-to-physical-examination-an-interprofessional-appr-jane-w-ball-rn-drph-cpnp-pdf-download-free-book-ecaa087.pdf
Calvo, D. F., Cassarino, D., & Fernandez-Flores, A. (2020). Syphilitic Chancre of the Lip. The American Journal of Dermatopathology, 42(10), e143-e146.
Jacobson, J., Pantelis, A., Williamson, M., Kjetland, E. F., Krentel, A., Gyapong, M., … & Djirmay, A. G. (2021). Addressing a Silent and Neglected Scourge in Sexual and Reproductive Health in Sub-Saharan Africa by Training Competencies to Improve Prevention, Diagnosis, and Treatment of Female Genital Schistosomiasis (FGS) for Health Workers. https://www.researchsquare.com/article/rs-363043/latest.pdf
Shetty, S., Kouskouti, C., Schoen, U., Evangelatos, N., Vishwanath, S., Satyamoorthy, K., … & Brand, A. (2021). Diagnosis of Chlamydia trachomatis genital infections in the era of genomic medicine. Brazilian Journal of Microbiology, 1-13. https://link.springer.com/article/10.1007/s42770-021-00533-z
Nokdhes, Y. N., Apinuntham, C., Chantaramanee, A., & Jiamton, S. (2021). A Presentation of Chancre Redux in An HIV-Infected Patient. Thai Journal of Dermatology, 37(3), 133-8. https://he02.tci-thaijo.org/index.php/TJD/article/view/243765