Tracey Case Study

According to an article in Women’s Health, gonorrhea is a disease typically transmitted through sex that can show symptoms through various ways. To start, one may experience genital burning and abnormal discharge. In some cases, there may be no symptoms present at all which may cause the disease to go untreated if not tested for. The article discusses the recent increase of concern over the disease as a result of the World Health Organization’s, WHO, findings in a recent study. More importantly, the article aims to inform readers about select types of gonorrhea bacteria that are currently incurable and not create widespread panic.

All tests done for unknown #618 executed the protocols of Brown 1. The first morphological characteristic test was the motility test, which determined if the organism was motile or non-motile. A gram stain was done to determine the cell shape and type of the unknown organism. If the gram stain

There was yeast cream noted. No erythema to the vaginal walls. No external erythema was noted. No cervical lesions were noted. There was a small amount of a whiter, thicker discharge on the superior vaginal wall. She did have a small, well defined lump on the left side of the labia, measuring about 2 mm in size, very well circumscribed, superficial, had the feeling of a cyst. No overlying redness or other external lesions were noted.

The patient tells me she noticed a rash on her of right side of her rear end approximately two to three days ago. She said she first felt a sensation before the rash started and then noticed that there were some squishy bumps there. She said it is tender if she touches it. If she is not sitting on it or lying on it or touching it is typically not tender. She has been trying not to scratch it. It does not tend to be itchy. She has been applying a diaper rash cream, but she is not sure if it is helpful or not. She says that she has had this in the past. She recalls having her first episode approximately two years ago and since then has in total, including this episode, had approximately four of them. She has not sought treatment for it before, but as this seems to seems to be continuing, she thought she should come in to have it evaluated. She is otherwise feeling perfectly fine. No fevers, chills, or body aches. No nausea, vomiting, or diarrhea. She is eating and drinking normally. She does not have a history of cold sores. She does not have any other unusual skin rashes. She does not have anything similar to this elsewhere on her body. She is currently not sexually active, does not believe that she is at risk for any such illness.

intercourse, swelling of the vulva, burning in the throat and swollen glands in the throat (due to

within the name. Bacterial Vaginosis is made up of several prefixes and suffixes. Bacterial has

Great post. I don’t see your primary diagnosis for the case scenario. However, based on the signs and symptoms, patient seems to have genital warts. Genital warts are small bumps that can be found on the genital area or around the anus (Youssef, 2012). The human papilloma virus (HPV) is the cause of genital warts. Since the patient has a history of chlamydia, and admits to having more than one sexual partner in the past year this increases her chance of getting genital warts. Genital warts are caused from the HPV virus, and are very contagious (Stanley, 2016). Some of the risk factors for genital warts are being under the age of 30, smoker, immune system weaknesses, history of child abuse, and if the mother had the virus during childbirth

Rationale: Client has recurrent marked vulvovaginal pain with penetration attempts, the first being on her wedding night. Continued fear and anxiety about vulvovaginal pain in anticipation of vaginal penetration since her first attempt at intercourse, marked tensing of the pelvic floor muscles during attempted vaginal penetration by husband and female gynecologist. Gynecologist was unable to insert speculum without sedating client. Gynecologist gave client diagnosis of Vaginismus. Client symptoms have persisted for 3 years and have caused significant distress evidenced by client seeking medical treatment and counseling. Client denies history of trauma.

A 21-year-old Caucasian female presents to the clinic for follow up on her yearly exam. She had initially reported while at college she had several episodes of unprotected sex and was treated at the clinic for chlamydia just before Christmas break. Her vital signs were 120/82 with a pulse rate of 82 and regular. Her respirations were 18 and unlabored with a 99% pulse oximetry reading on room air with an oral temperature of 98.1 degrees. She reports she has been feeling well after finishing her antibiotics from the clinic. Her Papanicolaou screen results were negative for intraepithelial lesions or malignancy, her hepatitis panel, rapid plasmin reagin, gonorrhea and chlamydia screening were nonreactive. Her enzyme-linked immunosorbent assay (ELISA) was positive and confirmed by the Western blot test (Schaffer & Treloar, 2017). She has no conditions where this is potentially a false positive such as liver disease, autoantibodies, recent viral illness or influenza vaccine since late summer (Schaffer & Treloar, 2017).

Vaginitis is an inflammation of the vagina that can result in discharge, itching and pain. The cause is usually a change in the normal balance of vaginal bacteria or an infection. Vaginitis can also result from reduced estrogen levels after menopause.

Al is a 16-year-old caucasian boy a complaint of sore, reddened, inflamed and swollen glans penis and foreskin. He is partial circumcised has a small skin adhesion on the anterior portion of the glans penis. The patient disclosed the following during our interview: Al patient denies that he also has discharge from his penis but he did notice white film surrounding the head of his penis when he retracted his foreskin. He stated it hurts to retract the skin from on his penis; therefore, he does not retract it routinely to clean it. He says he has had symptoms for several days and that they are getting worse. Al

She is not any contraception but sexual activity complaints of grayish white vaginal discharge and itching

For Verstraelen et al. (2010), the risk factors associated with bacterial vaginosis such as multiple sexual partners, practice of douching and sexual partners are proxy variables to the true risk exposure, which is the frequency of vaginal intercourse. This argument is supported by the fact that, higher frequencies of vaginal intercourse causes loss of hydrogen peroxide producing lactobacilly, which is a risk factor associated with bacterial vaginosis (Vallor et al., 2001). Additionally, Leppaluto et al. (2008) found that the lactobacilly-dominated microflora are replaced by G. vaginalis, when compared Papanicolaou smears before and after vaginal intercourse. However, whether the frequency of vaginal intercourse explains the high prevalence of bacterial vaginosis among married personnel in the U.S. Army needs to be

Vulvovaginal candidiasis is one of the most prevalent vaginal infections and represents, approximately 40%–50% of all cases of infectious vulvovaginitis .

Vaginal discharge: The most common presenting symptom of gonorrhea, vaginal discharge from endocervicitis is usually described as thin, purulent, and mildly odorous; however, many patients have minimal or no symptoms from gonococcal cervicitis