A 19-year-old woman presented because of the recent onset of breakthrough bleeding. She hasbeen taking the same oral contraceptive Pill for two years, she has not forgotten any pills or haddiarrhea or vomiting. She has been with her current sexual partner for four months and hasrecently stopped using condoms as additional protection. She is otherwise well.On examination the vulva and vagina are healthy and there is no inflammation. There is a smallcervical ectropion and profuse mucus and pus discharge from the cervix. There is no tendernesson bimanual vaginal examination and no masses palpable. An endocervical swab and urine testwas administered. What are the common complications associated with this condition if it is not effectively treated?Beta-lactam antimicrobials such as penicillins and cephalosporins are not effective for treatmentof this condition. Explain why this is the case.

A cervical infection refers to an infection that affects the cervix, which is the lower part of the…

Answered: A 19-year-old woman presented because…

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Harmony, a 33 year- old G1 P0 comes into see the nurse. Harmony is 29 weeks pregnant and she had only one previous prenatal visit at 18 weeks. She has declined vaccines and most blood work, so her rubella status, blood type, HIV status are unknown Harmony has failed to keep previous appointments which were scheduled at 22 weeks and 26 weeks. Harmony states that she has not been taking iron preparations nor her folic acid supplement as prescribed. She lives with her boyfriend outside of town on 2 acres and they raise chickens. Harmony shared that she treated her morning sickness with herbs from her garden. How would you ask the questions while maintaining a non-judgmental attitude and respect for the patient preference?
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