Category: Uncategorized

A young adult female is being evaluated in your office. She…

A young adult female is being evaluated in your office. She is complaining of vaginal itching, thick yellow mucus discharge, and urinary discomfort. She is sexually active and uses condoms with one of her partners but not both. On physical exam, the abdomen is negative. The pelvic exam reveals the cervix to have a mucopurulent discharge and friability. The bimanual exam is negative. Samples for NAATs were taken; however, results are not available yet. A wet mount with KOH is negative for the whiff test. Microscopy reveals few clue cells, > 10 WBCs per HPF, no yeast, and no trichomonads. What is the likely diagnosis and treatment?  

A 32-year-old woman presents to her primary care medical pro…

A 32-year-old woman presents to her primary care medical provider’s office with abnormal vaginal discharge.  She is diagnosed with cervical chlamydia and treated with the appropriate therapy.  She notifies her sex partner about her diagnosis so that he can seek care for testing and treatment.  She is not pregnant and following the completion of her treatment is asymptomatic.  Which one of the following is recommended regarding follow-up chlamydia testing for a woman treated for uncomplicated cervical chlamydia who does not have persistent or recurrent symptoms?

A 26-year-old woman is newly diagnosed with early HIV infect…

A 26-year-old woman is newly diagnosed with early HIV infection.  She is believed to have acquired HIV approximately 4 months prior from a brief sexual relationship with a partner who frequently injects methamphetamine.  She has a new boyfriend and they have regularly had vaginal sex without using a condom during the last 3 months.  She is asking how likely it is that she has passed on HIV to her new partner.