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Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes.  They are developed by multidisciplinary committees of subject matter experts, informed by methodical review of available evidence and consensus among committee members.   

The Genital Ulcers (painful, aphthous) in Females Clinical Pathway utilizes the following algorithm to guide care.

Algorithms associated with this Clinical Pathway: 

Inclusion and exclusion criteria: 

  • Inclusion:
    • Female patient presenting with genital pain
    • History of/concern for genital sores or lesions
  • Exclusion:
    • Female patient with STI - related to genital ulcers (STI CPG)
    • Female with genital ulcers from genital trauma

Committee members involved in the revision: 

  • Anne-Marie Priebe, DO | Gynecology | Committee member 
  • Jeanette Higgins, RN, MSN, CPNP | Gynecology | Committee member 
  • Kathleen Berg, MD, FAAP | Hospitalist, Evidence Based Practice
  • Andrea Melanson, OTD, OTR/L | Evidence Based Practice Department 

Publication dates: 

  • Finalized date: 03/2020; 1/2023
  • Next expected revision date: 1/2026

Concerns with content:

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These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.