Posted: October 27th, 2022

Assignment: Lab Assignment: Assessing the Genitalia and Rectum

  

Patients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

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In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare

· Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.

  1. Case Study Assignment  This week you will be reviewing another SOAP      note and reflecting on the additional information that you would be      needing.  This is not in SOAP format,      you will use headings for each section, and give me dialogue on what      information is missing in each section.  You will provide 5      differentials and reflect on the questions posed for the assignment.       Be sure to support with scholarly references.

Special Examinations—Breast, Genital, Prostate, and Rectal GENITALIA ASSESSMENT

Subjective:•

CC: “I have bumps on my bottom that I want to have checked out.”

•HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

•PMH: Asthma•Medications: Symbicort 160/4.5mcg •Allergies: NKDA

•FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:•VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs•Heart: RRR, no murmurs•Lungs: CTA, chest wall symmetrical•Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia•Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney•Diagnostics: HSV specimen obtained

Assessment: •Chancre

In summary, be sure to follow the rubric for this assignment.  Tell me what is missing in each section…..and would you support or refute the diagnosis.  Support that answer with rationale, and provide differential diagnosis with supported rationale.  Utilize scholarly references to support your rationales.  Remember….if you are doing a focused exam, which is what these case studies are…..be sure to really expand on the body systems that you are concerned about to hone in on your differential diagnosis.  This will help you with your documentation completeness going forward.

· Based on the Episodic note case study:

o Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.

o Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

o Consider what history would be necessary to collect from the patient in the case study.

o Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

o Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

· Analyze the subjective portion of the note. List additional information that should be included in the documentation.

· Analyze the objective portion of the note. List additional information that should be included in the documentation.

· Is the assessment supported by the subjective and objective information? Why or why not?

· Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

· Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

USW1.39745.202130 – NURS-6512N-34,Advanced Health Assessment.2020 Winter Qtr 11/30-02/21-PT27

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Afolabi Adegbite
on Sun, Feb 07 2021, 10:28 AM

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Submission ID: 5e8e8976-19f4-43ec-9e16-645007b4733e

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Citations (12/12)

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    Another student’s paper

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    Another student’s paper

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    https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/

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    Another student’s paper

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    Another student’s paper

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    https://allroundessays.com/analyze-the-objective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation/

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    Another student’s paper

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    Another student’s paper

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    Another student’s paper

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    Another student’s paper

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    Another student’s paper

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    Another student’s paper

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  • Running Head: ASSESING GENITALIA AND RECTUM 1
    ASSESING GENITALIA AND RECTUM 2

    1
    Assessing Genitalia and Rectum

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    Assessing Genitalia and Rectum

    Source – Another student’s paper
    Assessing the Genitalia and Rectum

    Afolabi Adegbite
    Walden University
    NURS 6512N:

    2
    Advanced Health Assessment and Diagnostic Reasoning

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    Advanced Health Assessment and Diagnostic Reasoning

    Source – Another student’s paper
    Advanced Health Assessment and Diagnostic Reasoning

    Kimberly Olszewski
    February01, 2020

    1
    ASSESING GENITALIA AND RECTUM

    Suspected Entry: 65% match

    Uploaded – WK10Assgn Adegbite A. x
    ASSESING GENITALIA AND RECTUM

    Source – Another student’s paper
    Assessing the Genitalia and Rectum

    3
    Analyze the subjective portion of the note.

    Suspected Entry: 99% match

    Uploaded – WK10Assgn Adegbite A. x
    Analyze the subjective portion of the note

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    Analyze the subjective portion of the note

    List additional information that should be included in the documentation.

    Suspected Entry: 99% match

    Uploaded – WK10Assgn Adegbite A. x
    List additional information that should be included in the documentation

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    List additional information that should be included in the documentation

    · Investigation is a crucial part of treatment. Looking at this case study, the subjective portion of the SOAP note is not complete. The subjective portion is an integral part of the assessment because it carries the patient’s illness history.

    4
    Since this is a genitalia assessment, the sexual practices before and after the bump’s appearance are very vital.

    Suspected Entry: 62% match

    Uploaded – WK10Assgn Adegbite A. x
    Since this is a genitalia assessment, the sexual practices before and after the bump’s appearance are very vital

    Source – Another student’s paper
    Bearing in mind that this is a genitalia assessment, it is important to assess the patient’s sexual practices and history before the bump’s appearance

    The physician must assess the patient regarding safe sex practices. Some of the questions that must be addressed include.
    · Do you use protection during sex?
    · Are you involved in male or female sexual practices or both?
    · Have you recently subjected that area to any kind of trauma, such as shaving?
    · Did you try any remedy for treating the bump using any medication or any other traditional method?

    3
    Analyze the objective portion of the note.

    Suspected Entry: 99% match

    Uploaded – WK10Assgn Adegbite A. x
    Analyze the objective portion of the note

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    Analyze the objective portion of the note

    List additional information that should be included in the documentation.

    Suspected Entry: 99% match

    Uploaded – WK10Assgn Adegbite A. x
    List additional information that should be included in the documentation

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    List additional information that should be included in the documentation

    The note’s objective part is critical as it helps give a piece of detailed information to match the patient’s subjective symptoms.

    4
    Since there are positive findings in the external labia, it is crucial to examine the area.

    Suspected Entry: 63% match

    Uploaded – WK10Assgn Adegbite A. x
    Since there are positive findings in the external labia, it is crucial to examine the area

    Source – Another student’s paper
    There are positive findings in the external labia, which shows the importance of examining the area

    The patient has to be assessed for inflammation and swelling, and the physician has to inquire whether the patient has any irritation.

    Suspected Entry: 92% match

    Uploaded – WK10Assgn Adegbite A. x
    The patient has to be assessed for inflammation and swelling, and the physician has to inquire whether the patient has any irritation

    Source – Another student’s paper
    The patient has to be assessed for inflammation and swelling and inquire whether the patient has any irritation

    Unilateral swelling of the labia may be an indication of Bartholdi gland infection.

    Suspected Entry: 66% match

    Uploaded – WK10Assgn Adegbite A. x
    Unilateral swelling of the labia may be an indication of Bartholdi gland infection

    Source – Another student’s paper
    If the patient has unilateral swelling of the labia, this might indicate that there may Bartholdi gland infection

    For proper evaluation of infection on the physical exam, the Skene glands need to be evaluated through milking properly. It would also be critical to palpate internally to assess any possibility of internal symptoms such as fistulas. Proper evaluation is the only way to rule out any condition that a patient may be having.

    4
    It is known that most vaginal infections come from the anus then being transferred to the rectum.

    Suspected Entry: 65% match

    Uploaded – WK10Assgn Adegbite A. x
    It is known that most vaginal infections come from the anus then being transferred to the rectum

    Source – Another student’s paper
    Most vaginal infections originate from the anus and then transferred to the rectum because of the close anatomical closeness

    This is because of the anatomical closeness between the two.

    4
    It is, therefore, essential to perform a full rectum and anus inspection.

    Suspected Entry: 66% match

    Uploaded – WK10Assgn Adegbite A. x
    It is, therefore, essential to perform a full rectum and anus inspection

    Source – Another student’s paper
    This, therefore, explains why it is very important to perform a full anus and rectum infection

    A full-body skin examination is also critical when performing a genitalia assessment.
    It is critical to look closely at sores on the mouth, hands, and feet during the assessment. These may help in evaluating other signs of disease. The patient who is suspected of having an STD requires neurological and lymph examination (Wald, 2018). These systems are affected by these diseases, and thus, some symptoms of sexually transmitted diseases may be seen in these systems.

    3
    Is the assessment supported by subjective and objective information?

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    Is the assessment supported by subjective and objective information

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    Is the assessment supported by the subjective and objective information

    Why or why not?

    Suspected Entry: 100% match

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    Why or why not

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    Why or why not

    5
    Objective and subjective data support this assessment.

    Suspected Entry: 87% match

    Uploaded – WK10Assgn Adegbite A. x
    Objective and subjective data support this assessment

    Source – Another student’s paper
    Whether objective and subjective data support the assessment

    This is so because the patient is presenting with positive findings in the external labia. Positive findings in the outer labia may indicate that the patient has a sexually transmitted disease. Similarly, this can be supported by the fact that this patient confirms sleeping with multiple sexual partners without protection during these acts. This patient’s history also supports this because it shows that the patient has had a sexually transmitted disease. All these factors put the patient at very significant risk of contracting an STD.

    6
    Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

    Suspected Entry: 99% match

    Uploaded – WK10Assgn Adegbite A. x
    Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis

    Source – https://allroundessays.com/analyze-the-objective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation/
    Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis

    Diagnostic testing is the only sure way of knowing the disease that the patient may be suffering from. A diagnostic test will help to narrow down to the most probable diagnosis.

    4
    To understand if there is any virus in this patient’s body, the physician is required to do a herpes simplex virus test.

    Suspected Entry: 62% match

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    To understand if there is any virus in this patient’s body, the physician is required to do a herpes simplex virus test

    Source – Another student’s paper
    Herpes simplex virus specimen will help determine if there is the presence of a virus in the patient’s body

    This is a blood test that screens for genital herpes infection among patients that present with sores.
    The patient should also be subjected to rapid plasma regain. This is a syphilis blood test that helps in looking for antibodies to syphilis bacteria.

    4
    This is done by detecting the number o specific antibodies produced by the body while fighting for infections.

    Suspected Entry: 69% match

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    This is done by detecting the number o specific antibodies produced by the body while fighting for infections

    Source – Another student’s paper
    This test helps in detecting the number of specific antibodies that the body produces while fighting for infections

    She must also be subjected to HI test, gonorrhea, and Chlamydia. If all these tests turn out negative, the physician must undertake a biopsy on the bump to help rule out the patient’s possibility of vulva cancer.

    3
    Would you reject/accept the current diagnosis?

    Suspected Entry: 100% match

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    Would you reject/accept the current diagnosis

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    Would you reject/accept the current diagnosis

    Why or why not?

    Suspected Entry: 100% match

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    Why or why not

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    Why or why not

    I would accept the current diagnosis.

    Suspected Entry: 72% match

    Uploaded – WK10Assgn Adegbite A. x
    I would accept the current diagnosis

    Source – https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/
    Would you reject/accept the current diagnosis

    5
    A chancre is a painless genital ulcer that, in most cases, is formed during the early stages of syphilis (Rowley, et al., 2019).

    Suspected Entry: 62% match

    Uploaded – WK10Assgn Adegbite A. x
    A chancre is a painless genital ulcer that, in most cases, is formed during the early stages of syphilis (Rowley, et al., 2019)

    Source – Another student’s paper
    The first stage is called primary syphilis, and it is characterized by a painless ulcer known as a chancre (Rowley et al., 2019)

    7
    Syphilis is transmitted through unprotected sexual contact with infected people.

    Suspected Entry: 87% match

    Uploaded – WK10Assgn Adegbite A. x
    Syphilis is transmitted through unprotected sexual contact with infected people

    Source – Another student’s paper
    Syphilis is transmitted through unprotected sexual contact with an infected person

    4
    This means that it should be suspected in patients who have unprotected sexual intercourse with multiple partners.

    Suspected Entry: 94% match

    Uploaded – WK10Assgn Adegbite A. x
    This means that it should be suspected in patients who have unprotected sexual intercourse with multiple partners

    Source – Another student’s paper
    This means that it should e suspected in patients who have unprotected sexual intercourse with multiple partners

    This patient has admitted having various sexual partners and never uses protection.

    4
    Syphilis must be detected and treated early enough.

    Suspected Entry: 100% match

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    Syphilis must be detected and treated early enough

    Source – Another student’s paper
    Syphilis must be detected and treated early enough

    If left unchecked for long, it can cause neurological, musculoskeletal, and hepatic severe damages.

    Suspected Entry: 100% match

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    If left unchecked for long, it can cause neurological, musculoskeletal, and hepatic severe damages

    Source – Another student’s paper
    If left unchecked for long, it can cause neurological, musculoskeletal, and hepatic severe damages

    Therefore, looking at the signs and symptoms presented by this patient, she is in the early stages of syphilis, and thus the current diagnosis fits this patient.
    Differential diagnosis
    Genital herpes
    Genital herpes disease is transmitted through skin to skin contact with an infected person.

    4
    Individuals with this condition have painful genital, cervix, or anal erythematous sores.

    Suspected Entry: 66% match

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    Individuals with this condition have painful genital, cervix, or anal erythematous sores

    Source – Another student’s paper
    Genital herpes The persons who have this condition will have a painful genital, cervix, or anal erythematous sores (Gnann & Whitley, 2016)

    They also present with other symptoms such as swollen lymph nodes, which accompany sores during the initial outbreak, and headaches.

    Suspected Entry: 65% match

    Uploaded – WK10Assgn Adegbite A. x
    They also present with other symptoms such as swollen lymph nodes, which accompany sores during the initial outbreak, and headaches

    Source – Another student’s paper
    The patients will experience headache, have swollen lymph nodes which accompany sores during the initial outbreak

    This condition will typically come as a group of sores, and in rare cases, will they occur solely in one place.

    Suspected Entry: 68% match

    Uploaded – WK10Assgn Adegbite A. x
    This condition will typically come as a group of sores, and in rare cases, will they occur solely in one place

    Source – Another student’s paper
    The disease normally comes as a group of sores, and in rare cases, will they occur solely in one place, thus making this diagnosis more unlikely

    The fact that the sores in this condition occur as a group makes this diagnosis more unlikely.
    Bartholin Cryst

    4
    The Cryst is ordinarily painless, and it is tender.

    Suspected Entry: 80% match

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    The Cryst is ordinarily painless, and it is tender

    Source – Another student’s paper
    The Cryst is normally painless, and it is tender

    A full-blown infection occurs in a matter of a few days after the infection.

    Suspected Entry: 72% match

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    A full-blown infection occurs in a matter of a few days after the infection

    Source – Another student’s paper
    A full-blown infection occurs in a matter of a few days (Silman et al., 2018)

    If the Cryst is infected, the patient experiences a tender, painful lump near the vaginal opening (Moscovitz, et al., 2017).

    Suspected Entry: 84% match

    Uploaded – WK10Assgn Adegbite A. x
    If the Cryst is infected, the patient experiences a tender, painful lump near the vaginal opening (Moscovitz, et al., 2017)

    Source – Another student’s paper
    If the Cryst is infected, the patient experiences a tender, painful lump near the vaginal opening

    The patient will feel uncomfortable while walking or sitting.

    Suspected Entry: 72% match

    Uploaded – WK10Assgn Adegbite A. x
    The patient will feel uncomfortable while walking or sitting

    Source – Another student’s paper
    one is uncomfortable while walking or sitting

    The patients with this condition also report having painful sexual intercourse. They also report having a fever. This condition is in most cases reported to women who are in their twenties.

    4
    The Cryst is filled with fluid.

    Suspected Entry: 63% match

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    The Cryst is filled with fluid

    Source – Another student’s paper
    The Cryst is filled with fluid, which disqualifies this differential diagnosis

    These signs and symptoms presented with a person with this condition do not fit with our patient. Therefore, this differential diagnosis is most unlikely.
    Vulva cancer
    Vulva cancer is not a common disease as it only accounts for four percent of all female reproductive cancers.

    4
    It starts as a painless lump on the vulva.

    Suspected Entry: 67% match

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    It starts as a painless lump on the vulva

    Source – Another student’s paper
    Vulva cancer appears as a painless lump on the vulva

    The lump may be accompanied wit pruritis from the vaginal irritation (Hinten et al., 2017).

    Suspected Entry: 72% match

    Uploaded – WK10Assgn Adegbite A. x
    The lump may be accompanied wit pruritis from the vaginal irritation (Hinten et al., 2017)

    Source – Another student’s paper
    The lump may be accompanied by pruritis from the vaginal irritation

    The patient may have a change of the skin color of the vulva.

    Suspected Entry: 96% match

    Uploaded – WK10Assgn Adegbite A. x
    The patient may have a change of the skin color of the vulva

    Source – Another student’s paper
    The patient may have a change in the skin color of the vulva

    It is crucial to conduct a vulva biopsy for a definitive diagnosis.

    4
    It is the women above the ages of 50 who are at a greater risk of contracting this disease.

    Suspected Entry: 74% match

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    It is the women above the ages of 50 who are at a greater risk of contracting this disease

    Source – Another student’s paper
    The women above the ages of 50 are at a greater risk of contracting this disease, therefore not consistent with this particular patient

    The signs and symptoms that this patient presents are not consistent with those presented by this patient.
    References

    1
    Hinten, F., Molijn, A., Eckhardt, L., Massuger, L.

    Suspected Entry: 99% match

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    Hinten, F., Molijn, A., Eckhardt, L., Massuger, L

    Source – Another student’s paper
    Hinten, F., Molijn, A., Eckhardt, L., Massuger, L

    F., Quint, W., Bult, P.,.

    Suspected Entry: 80% match

    Uploaded – WK10Assgn Adegbite A. x
    F., Quint, W., Bult, P.,

    Source – Another student’s paper
    G., Quint, W., Bult, P.,

    & de Hullu, J.

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    & de Hullu, J

    Source – Another student’s paper
    & de Hullu, J

    A. (2017). VULVAR CANCER:

    1
    TWO PATHWAyS WITH DIFFERENT LOCALIZATION AND PROGNOSIS.

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    TWO PATHWAyS WITH DIFFERENT LOCALIZATION AND PROGNOSIS

    Source – Another student’s paper
    two pathways with different localization and prognosis

    8
    PDF hosted at the Radboud Repository of the Radboud University Nijmegen, 39.

    Suspected Entry: 93% match

    Uploaded – WK10Assgn Adegbite A. x
    PDF hosted at the Radboud Repository of the Radboud University Nijmegen, 39

    Source – Another student’s paper
    PDF hosted at the Radboud Repository of the Radboud University Nijmegen

    9
    da Silva Tavares, K.

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    da Silva Tavares, K

    Source – Another student’s paper
    da Silva Tavares, K

    A.,retrieved from:

    10
    https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0037-1604178 Moscovitz, T., Tcherniakovsky, M., de Melo Pompei, L., & Fernandes, C.

    Suspected Entry: 63% match

    Uploaded – WK10Assgn Adegbite A. x
    https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0037-1604178 Moscovitz, T., Tcherniakovsky, M., de Melo Pompei, L., & Fernandes, C

    Source – Another student’s paper
    https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0030-1267860

    E. (2017).

    9
    Differential diagnosis between Bartholin cyst and vulvar leiomyoma:

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    Differential diagnosis between Bartholin cyst and vulvar leiomyoma

    Source – Another student’s paper
    Differential Diagnosis between Bartholin Cyst and Vulvar Leiomyoma

    case report.

    9
    Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, 39(08), 433-435.

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, 39(08), 433-435

    Source – Another student’s paper
    Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, 39(08), 433-435

    Retrieved from: https://repository.ubn.ru.nl/bitstream/handle/2066/173471/173471 #page=40

    1
    Rowley, J., Vander Hoorn, S., Korenromp, E., Low, N., Unemo, M., Abu-Raddad, L.

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    Rowley, J., Vander Hoorn, S., Korenromp, E., Low, N., Unemo, M., Abu-Raddad, L

    Source – Another student’s paper
    Rowley, J., Vander Hoorn, S., Korenromp, E., Low, N., Unemo, M., Abu-Raddad, L

    J.,. & Thwin, S. S. (2019).

    1
    Chlamydia, gonorrhoea, trichomoniasis and syphilis:

    Suspected Entry: 100% match

    Uploaded – WK10Assgn Adegbite A. x
    Chlamydia, gonorrhoea, trichomoniasis and syphilis

    Source – Another student’s paper
    Chlamydia, gonorrhoea, trichomoniasis and syphilis

    global prevalence and incidence estimates, 2016.

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    global prevalence and incidence estimates, 2016

    Source – Another student’s paper
    global prevalence and incidence estimates, 2016

    Bulletin of the World Health Organization, 97(8), 548.

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    Bulletin of the World Health Organization, 97(8), 548

    Source – Another student’s paper
    Bulletin of the World Health Organization, 97(8), 548

    Retrieved from;

    11
    https://www.who.int/bulletin/volumes/97/8/18-228486

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    https://www.who.int/bulletin/volumes/97/8/18-228486

    Source – Another student’s paper
    https://www.who.int/bulletin/volumes/97/8/18-228486

    Wald, A. (2018). Sexual practices and oral and genital herpes simplex virus shedding patterns among a cohort with laboratory documented first episode genital HSV-1. In Dublin:

    12
    The International Union against Sexually Transmitted Infections (IUSTI) World & European Congress.

    Suspected Entry: 72% match

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    The International Union against Sexually Transmitted Infections (IUSTI) World & European Congress

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    The International Union against Sexually Transmitted Infections (IUSTI) was founded in 1923

    : Retrieved from: https://safe-sex.co.il/wp-content/uploads/2018/Pro-Info/Sexual%20practices%20and%20oral%20and%20genital%20herpes%20simplex%20virus%20shedding%20patterns%20among%20a%20cohort%20with%20laboratory%20documented%20first%20episode%20genital%20HSV

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