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GYN Findings
Manage episode 399321721 series 3456065
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A 22-year-old woman presents with a chief complaint of a 4-day history of mild dysuria, described as, “It burns a bit when I urinate.” She denies fever, GI upset, urinary urgency and frequency. About 1 month ago, she entered a relationship with a male partner who is currently without symptoms. Clinical assessment reveals a friable cervix covered by a thick yellow discharge. Suprapubic, CVA and cervical motion tenderness are absent. UA is positive for leukocytes and negative for nitrites, and microscopic examination of vaginal discharge reveals a large number of white blood cells (WBCs). She is in no acute distress. Thie presentation is most consistent with:
A. Pelvic inflammatory disease
B. Lower urinary tract infection
C. Genital herpes
D. Chlamydia trachomatis cervicitis.
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