Final answer:
Candida vulvovaginitis is diagnosed via microscopic exam of vaginal secretions; initial treatment orders include prescribing antifungal medications, and follow-up after treatment ensures full resolution and recurrence prevention.
Step-by-step explanation:
Candida vulvovaginitis, commonly known as a yeast infection, requires a specific approach for diagnosis and treatment. The immediate orders upon suspicion of this condition are to conduct an exam which should include microscopic evaluation of vaginal secretions to check for an excess of Candida, alongside a patient's reported symptoms. Following this, the initial orders would typically involve preparing a vaginal smear for microscopic examination and possibly sending a sample to a microbiology lab for confirmation.
Once results confirm the presence of Candida overgrowth, the doctor would prescribe appropriate antifungal medication, such as butoconazole, miconazole, clotrimazole, tioconazole, nystatin, or oral fluconazole. In cases where the patient is pregnant, as is referenced in the clinical focus, the medication should be selected carefully, with clotrimazole being a suitable option during the second and third trimesters of pregnancy.
The final orders after successful treatment would involve a follow-up to ensure the infection has been fully resolved and discussing preventive measures with the patient to minimize recurrence.