Reference no: EM133916613

Question 1.

Jennifer is, 19 yo, mixed race (Black and Mexican) young female sophomore in college, who is enduring the stress of final week. During the course of one of her late night study sessions, she begins to feel an irregular sensation in her vaginal area. She develops a burning sensation along with vaginal itching which causes high levels of discomfort. Around the end of the week, Jennifer developed an odd smelling odor and had some discoloration. She also had an abnormal vaginal discharge which was followed by painful and cloudy urination. She discussed these findings with a friend and mentioned she bought some new bath and body bath wash and used it the night she went out with her new "friend".

1. Based on her above complaints alone what diagnosis would you give Jennifer?

2. What would be a differential diagnosis for Jennifer's current symptoms and why? (Give 2 other possibilities)

Question 2.

Jennifer does not see these symptoms as something serious and puts off going to the doctor. As time progresses further, Jennifer does begin to experience more pain including when she engages in sexual intercourse. Having never happened before, she begins to worry and her concern is later turned into action after developing a fever and experiencing abdominal pain. She calls to make an appointment with the physician and is able to go in the next morning. After completing an assessment of her symptoms, the doctor ordered a few tests to better diagnose Jennifer. A pelvic exam, a urine screen through utilizing PCR (Polymerase Chain Reaction) and culture, vaginal panel ( vaginal samples), and the rapid test are all conducted. Once the results come in they show that both the urine screen and culture where negative for a urinary tract infection and that the vaginal panel was pending. In the microscopic exam there was no overgrowth for yeast from the vaginal secretion sample. The whiff test which is performed by adding a small amount of potassium hydroxide (KOH) to a microscopic slide containing vaginal discharge came out negative for Trichomoniasis. The rapid N. gonorrhea and chlamydia was positive and upon the exam , the cervix was reddened and white clumpy discharge noted.

3. With these these results what are the final diagnosis (es)

4. From the pelvic exam what other diagnosis can be made presumptively?

5. Upon diagnosis(es), what type of medication treatment will Jennifer be prescribed?

6. If the disease that Jennifer has goes untreated what risks does she open herself up to?

7. What is the current epidemiology of cases for the disease(s) for Illinois and the United States?

8. What other topics would be included for her education upon the discharge from the visit?