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Concerns about a foul vaginal odor and discharge

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An 18 year old female comes into the office with concerns about a foul vaginal odor and discharge. She reports not having had this problem before but it started about a month ago and has gotten worse. She denies UTI symptoms.

CC: “I have a vaginal odor and discharge”.

Questions:

  1. List the questions you would ask for a complete history for this patient.
  2. How would you approach the physical exam for this patient?
  3. Describe the comprehensive plan of care for this patient including diagnostics, labs, and treatments.
  4. What are the most common types of vaginal and urinary infections in sexually active adult women?

Sample Solution

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