iHuman Case Study :Nancy Campbell Case Summary

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Ms. Nancy Campbell is 25 years old and comes to the clinic complaining of dysuria that has lasted for three days. Other accompanying symptoms include a creamy vaginal discharge and an increased urin... ation frequency. Ms. Campbell’s symptoms differ from those of UTI as she explains. She is sexually active and have more than one sexual partner and denies having protected sex instead opting for oral contraceptive pills. She denies ever being pregnant before and denies other symptoms. Symptoms presented suit those of cervicitis as described in this presentation. She denies chills, fever and other gastrointestinal symptoms such as nausea and vomiting. She was treated pharmacologically using Azithromycin 1000mg single dose to be taken orally and ceftriaxone 250mg IM single dose after a series of lab tests. The management plan was accompanied by patient education on abstinence and having protected sex. This illness has a clinical significance as it puts the patient at the risk of getting endometriosis or Pelvic Inflammatory Disease (PID). Other related risks are infertility, chronic pelvic pain and a higher risk of ectopic pregnancy. The pathogens that cause this illness can be sexually transmitted to the patient's sexual partners. According to Butaro, Trybulski, Polgar-Bailey & Sandberg, (2017), there is a high risk of shedding and acquisition of HIV-1 in patients with cervicitis. HPI  CC: A Burning sensation that comes with urination  History of Patient’s Illness: Ms. Nancy Campbell is a 25-year-old female patient who presents to the clinic with a chief complain of three-day old dysuria. She reports of a history of urinary tract infection and the burning sensation now is different from when she had UTI. Patient reports that other accompanying symptoms include increased urination frequency with urine that comes in small amounts. The patient reports that she has a creamy vaginal discharge that happens three times a day. Patient denies chills or fever, denies nausea, vomit or abdominal pain. Patient also denies breast tenderness. Patient reports that dysuria is relieved by soaking in warm water. After a physical examination, results show that there is a mucopurulent vaginal discharge that comes from the cervix. Tenderness is also noted. Patient reports of being sexually active and have more than one sexual partners and does not practice safe sex and instead takes contraceptive pills as a means of preventing pregnancy. Medical History  Patient had urinary tract infection twelve months ago.  No known allergies.  No medical intolerances  No chronic health complications or major traumas.  No hospitalization or surgeries are done before.  Medications: Oral contraceptive pills. And ibuprofen is taken for headache and menstrual pains.  vaccinations are up to date [Show More]

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