Case Study: A 24-year-old woman notes vaginal itching and irritation with a slight discharge. Previously, she developed a yeast infection that was treated with over-the-counter medications and resolved. Thinking that this was a recurrence, she again self-treated. This time, however, the symptoms did not resolve, and now there is a pungent odor, along with a frothy discharge. She presents to her HMO for diagnosis, and the nurse practitioner takes a swab of the secretions to perform a rapid point-of-care test and microscopy. A wet mount of the swab demonstrates swimming protozoan with characteristic jerky motility. A stained smear also showed pear-shaped trophozoite with flagella. Diagnosis: Bacterial vaginosis Causative Agent: Gardnerella vaginalis 1. Case 2. Patient initials (Ex. 50-year-old man) 3. History of the present illness (Symptoms and may include the physical exam of the patient) 4. Chief Complaints (Ex. Morning stiffness in his joints for over a year) 5. Diagnosis and Causative agent 6. Pathophysiology 7. Treatment and Management 8. References
Case Study:
A 24-year-old woman notes vaginal itching and irritation with a slight discharge. Previously, she
developed a yeast infection that was treated with over-the-counter medications and resolved.
Thinking that this was a recurrence, she again self-treated. This time, however, the symptoms
did not resolve, and now there is a pungent odor, along with a frothy discharge. She presents
to her HMO for diagnosis, and the nurse practitioner takes a swab of the secretions to perform
a rapid point-of-care test and microscopy. A wet mount of the swab demonstrates swimming
protozoan with characteristic jerky motility. A stained smear also showed pear-shaped
trophozoite with flagella.
Diagnosis: Bacterial vaginosis
Causative Agent: Gardnerella vaginalis
1. Case
2. Patient initials (Ex. 50-year-old man)
3. History of the present illness (Symptoms and may include the physical exam of the patient)
4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)
5. Diagnosis and Causative agent
6. Pathophysiology
7. Treatment and Management
8. References
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