Episode 69: Case Study #8: 16-Year-Old Female Presenting to Clinic with Greenish Vaginal Discharge - a podcast by Operation Podcast
from 2021-06-07T07:00
A 16-year-old adolescent girl presents to your office with the complaint of greenish vaginal discharge for the past two months and the recent onset of lower abdominal pain. She reports that her last period was about two and a half months ago. She is sexually active with two partners and has never used a condom or any other contraception with either. On physical examination, she is not febrile with normal blood pressure and pulse. She has greenish discharge from the cervix with friability and cervicitis. There is no cervical motion tenderness. Her urine pregnancy test is positive. A cervical sample is positive for chlamydia and negative for Neisseria gonorrhoeae. Her rapid plasma reagin (RPR) is non-reactive and an HIV test is negative.
The patient is treated with appropriate antibiotics and counseled concerning safer sex practices. You also inform the patient regarding her risk for HIV conversion, even though today's test was negative. The patient asks if you are going to tell her mother that she is pregnant and has this infection. You inform the patient that because of patient confidentiality and ethical considerations you will not disclose this information to her mother without her consent. She tells you that she does not want her mother and boyfriends to know that she is infected.
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