[NPInfo] Malodous pt

[Lisa Meyer]

Another source of "body odor" that I have identified (especially in teen 
boys/young men) are athletic shoes that they "live in" in the summer, often 
without socks.  They or their mothers will complain of body odor, and for 
some reason, not be able to trace it to the shoes (that are likely full of 
pseudomonas).  The whole exam room will often stink, so it does make it hard 
to trace the source when the odor is so strong.

Lisa


----- Original Message ----- 
From: "Margaret A. Fitzgerald, DNP, NP-C, FNP-BC, FAANP, CSP" 
<pegf at hotmail.com>
To: "NP Info" <npinfo at nurse.net>
Sent: Monday, March 17, 2008 2:15 PM
Subject: RE: [NPInfo] Malodous pt


Dave, Your comment on the clothes is right on target. I "cured" a teen of 
her body odor after a discussion about "even if you do not think you sweat, 
you do, so wash your clothes often!"

Another comment- For the patient in question, is this underarm type odor or 
perhaps an oral health issue such as dental decay or gum disease? Is she 
ketotic? The later is common with dieting and can be quite intense. 
Bacterial vaginosis? Can the examiner detect the odor?

Dr. Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP President, 
Fitzgerald Health Education Associates, Inc. 85 Flagship Drive North 
Andover, MA 01845-6154 978.794.8366 FHEA website www.fhea.com FHEA on line 
store www.fhea.biz peg at fhea.com
FNP, Adjunct Faculty, Family Practice Residency Greater Lawrence (MA) Family 
Health Center, Inc.

> From: dmittman at advancedprac.com> Subject: Re: [NPInfo] Malodous pt> Date: 
> Mon, 17 Mar 2008 13:45:33 -0400> To: npinfo at nurse.net> > Use antibacterial 
> soap.It is a must for under arm odor.> Wash clothes (you will be 
> surprirised how many people don't).> Stress?> D> > On Mar 17, 2008, at 
> 10:57 AM, jamestblackwell at aol.com wrote:> > > Anybody out there have any 
> suggestions on what to do for a 40-ish > > y.o. woman who has body odor 
> affecting her quality of life and > > employment status?? She bathes 
> regulary, has tried different > > antiperspirants, and the usual suspects 
> have been eliminated.> >> > James Blackwell, NP> > 
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