50 Best Speculum Ad Images in 2020 - BigSpy

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A 29-year-old woman, gravida 2, para 1, at 10 weeks' gestation comes to the physician for a prenatal visit. Over the past two weeks, she has felt nauseous in the morning and has had vulvar pruritus and dysuria that started 5 days ago. Her first child was delivered by lower segment transverse cesarean section because of macrosomia from gestational diabetes. Her gestational diabetes resolved after the child was born. She appears well. Ultrasound confirms fetal heart tones and an intrauterine pregnancy. Speculum exam shows a whitish chunky discharge. Her vaginal pH is 4.2. A wet mount is performed and microscopic examination is shown. Which of the following is the most appropriate treatment? A - Oral metronidazole B - Intravaginal treatment with lactobacillus C - Oral fluconazole D - Topical nystatin E - Intravaginal clotrimazole
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“All done,” the doctor interrupts my thoughts, pulling off her gloves with a loud snap. Even from the bed where I’m lying, my legs spread like the Thanksgiving turkey, I can hear the impatient growl of the man standing in the doorway. If you can even call him a man. More like a beast out of a friggin’ fairytale. “Well?” Her pronouncement echoes throughout the room while the speculum is still inside me. “She’s a virgin.”
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“All done,” the doctor interrupts my thoughts, pulling off her gloves with a loud snap. Even from the bed where I’m lying, my legs spread like the Thanksgiving turkey, I can hear the impatient growl of the man standing in the doorway. If you can even call him a man. More like a beast out of a friggin’ fairytale. “Well?” Her pronouncement echoes throughout the room while the speculum is still inside me. “She’s a virgin.”
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