Summary or synopsis of
Ms. Campbell’s case
Miss Campbell is a 25 year old white female who presented
with a 3-day history of painful urination and vaginal discharge.
She is a consultant who spends most of her time
...
Summary or synopsis of
Ms. Campbell’s case
Miss Campbell is a 25 year old white female who presented
with a 3-day history of painful urination and vaginal discharge.
She is a consultant who spends most of her time on the road.
She is of medium height (5’5”), 135 lb of weight, and fair skin.
Other associated symptoms include vaginal discomfort and
increased frequency of urination including having to wake up
night to urinate at night several times (nocturia) and reduced
amount of urine volume with each bout.
She reports no other associated symptoms and does not recall
any significant events surrounding the development of the
pain and discharge.
The only similar condition in her past is a yeast infection in
her genitals.
HPI
Chief complaint: burning sensation (pain) when urinating for 3 days,
which does not radiate to other places.
Associated symptoms include vaginal discharge for 3 days, increased
frequency of urination urge comes every 1-0 to 20 minutes but she
resists due to discomfort , nocturia (wakes up to urinate at night to
urinate), and reduced urination.
The vaginal discharge is yellow, creamy, has mucous, and is not really
smelly
She has a previous history of yeast infection but has had no of vaginal
discharge previously
She has received no previous treatment for the vaginal discharge and
discomfort
Nothing has improved the pain or discharge
There has been no change in the discharge over time
The discharge does not keep her from sleeping but the frequent
urination does
There are no significant events that she can connect with the
development of the vaginal discharge and painful urination
She has had no genital swellings or sores and no itching, no vaginal
dryness, no history of abnormal vagina bleeding, has not inserted
foreign bodies in her genitals,
She has experienced reduced amount of urination during each bout
No pain during intercourse (however, she has not had sex since
developing the current complaints)
Medical History
She has a previous history of bladder infection, which had
different sign and symptoms from the ones she is having this
time
No previous history of a major medical problem or surgical
procedures, but she has had teeth fillings
No history of hospitalization
Her menstrual cycle regular and has no abnormalities
No history of pregnancy
No known allergies
She takes birth control pills
She also takes over the counter such as ibuprofen for
periods and headaches
She reports normal eating habits (she has been eating
nothing unusual lately)
She has no history of STIs
Family History
She has a family, with two parents and one
sibling
She is not married or does not have any
children or significant partner
He father has had heart problems while her
mom has diabetes
Her sibling (one sister) is fine
Social History
She has no history of recreational drugs including
alcohol
She is a consultant who spends most of her time on
the road
She likes too party with friends, meet new people,
and go out to bars.
No history of recent travel
No new exercise or activities
She does not engage in sports
She is sexually active, engages in occasional oral
sex, has more than one sexual partner
She has previously had a spotting problem after sex
None of her partners has had similar symptoms,
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