20 Feb A 30-year-old female presents to the emergency room with a chief complaint of yellow, creamy vaginal discharge and difficulty with urination
A 30-year-old female presents to the emergency room with a chief complaint of yellow, creamy vaginal discharge and difficulty with urination. She states these symptoms started about 3 days ago, and she thought she had a urinary tract infection. She denies pelvic pain. The patient had unprotected sexual intercourse in the last two weeks with her new partner. She denies any lower back pain or foul-smelling urine or frequency. PMH is negative.
Vital signs T 98.8 F Pulse 80 Resp 22 O2 sat 99% on room air. Cardio-respiratory exam unremarkable for murmurs, rubs, clicks, or gallops. Abdominal exam negative for any pain or tenderness to deep palpation. Pelvic exam demonstrates mucopurulent vaginal discharge and erythema to cervix with some bleeding noted to the cervix when touched with the swab. No masses on bimanual exam.
LEARNING RESOURCES
Lecturio Resources
Review the following Video Resources and Content Pages in the Lecturio Platform by clicking button below labeled Load Week 10: Learning Resources in a new window.
Sexually Transmitted Infections: Drips/Discharges, Pelvic Inflammatory Disease and Trichomonas Vaginalis (10:10 min)
Urethritis: Definition and Pathology (6:15 min)
Syphilis – Definition and Pathology (4:54 min)
Candidiasis (2:12 min)
Genital Warts (Condyloma Acuminatum): Pathology, Signs & Symptoms (3:01 min)
Human Immunodeficiency Virus (HIV): Definition and Pathology (9:33 min)
Herpes Simplex Virus (HSV) (1:54 min)
Prostatitis (Prostate Infection): Types (5:02 min)
Epididymitis (Emergency Medicine): 7:05 min
Introduction to Male Reproductive Pathology (4:02 min)
Diagnoses of Reproductive Hormone Disorders – Reproductive Pathology (10:38 min)
Female Factor Infertility (Nursing) (10:36 min)
Male Factor Infertility (Nursing) (4:00 min)
Supplementary Resources
Note: These readings are intended to serve as supplementary to the Lecturio content provided in this course. Please refer/review these supplementary resources should you need help in reinforcing concepts and in preparation for completing this week’s Assessments.
McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
oChapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review
oChapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review
oChapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review
oChapter 27: Sexually Transmitted Infections, including Summary Review
Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challengesLinks to an external site.. PLoS Medicine, (12), e1002481
Note: Although this resource page displays as an Assignment, it will not be counted towards your final grade. Your progress through the Lecturio resources will be reported as a percentage in the gradebook that will only be used as reference.
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