Genitalia assessment entails the collection of a wide range of historical and present data regarding the patient. This information is critical as it determines the effectiveness of the diagnosis. For this reason, medical caregivers are encouraged to gather all relevant information, both objective and subjective to develop the most suitable determination. Thispaper, therefore, gives insight on the additional information that could be added to a SOAP note assessment done on a patient with the genitalia-relateddisease. Equally, it analyzes the appropriateness of the evaluation and whether the diagnosis would be useful.

SUBJECTIVE INFORMATION

Generally, the patient complains of the existence of bumps on her bottom that are painless and rough. Looking at her history, it would be wise also to find out if the patient has had unprotected sexual contact as it could’ve been a contributing factor. Despite her sexual behavior,  it would also be appropriate to find out if there has been such a case in any of her family members. The assessment would also consider finding out if the patient has had allergic reactions before,  and if yes, to what foods or medications. Equally,  it would be appropriate to find out about the patient’s toilet use,  as it could also be a contributing factor.

OBJECTIVE INFORMATION

Objectively, the doctor aims at developing deeper insight that could help in the diagnosis. This section provides a better idea into the signs and symptoms being experienced by the patient. In this case,  the doctor could also examine the lymph nodes around the groin area. Equally,  a “biannual survey would be necessary in this case to monitor the patient’s internal reproductive organs.  Following this test,  the doctor could also perform a rectovaginal examination that aims at assessing the space between the vagina and the rectum to make sure that the surrounding tissues are healthy and abnormality free.

The assessment, in this case, is supported by both the subjective and objective information and therefore appropriate. This is because it pays attention not only to the social and historical data given by the patient, but also the physical examinations and tests that provide clear guideline towards the diagnosis. Therefore the diagnostics would be appropriate in this case given the fact that they are based on a wide range of evidence-based information.

I would accept this diagnosis, as it has not only focused on personal information but also gone deeper to perform critical assessments that provide a clear guideline on what exactly the patient is suffering from. Specifically,  the obtaining of the HSV specimen is enough evidence tosupport the diagnosis.

Just like in any other assessment, there are possible conditions that could be considered as a differential diagnosis for this patient. These conditions are Behcet syndrome, Syphilis, and Herpes Zoster. These conditions are often a differential diagnosis for these patients because of the similarities in signs and symptoms. Such symptoms include vasculitis,  which is a general inflammation ofthe vulva region. Secondly,  the development of lesions or bumps that continued progress on the genitalia and buttocks area occur in these conditions. However,  in this case,  the HSV specimen has been identified, making it clear what the patient in question is suffering from.

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