A 24-year-old travel agent comes to your clinic, complaining of pain and swelling in her vulvar
area. She states that 2 days earlier she could feel a small tender spot on the left side of her vagina
but now it is large
...
A 24-year-old travel agent comes to your clinic, complaining of pain and swelling in her vulvar
area. She states that 2 days earlier she could feel a small tender spot on the left side of her vagina
but now it is larger and extremely tender. Her last period was 1 year ago and she is sexually active.
She uses the Depo-Provera shot for contraception. She denies any nausea, vomiting, constipation,
diarrhea, pain with urination, or fever. Her past medical history is
significant for ankle surgery. Her mother is healthy and her father has type 2 diabetes. On
examination she appears her stated age and is standing up. She states she cannot sit down without
excruciating pain. Her blood pressure, temperature, and pulse are unremarkable. On visualization
of her perineum, a large, red, tense swelling is seen to the left of her introitus. Palpation of the
mass causes a great deal of pain. What disorder of the vulva is most likely causing her problems?
✔✔Bartholin's gland infection
A 48-year-old high school librarian comes to your clinic, complaining of 1 week of heavy
discharge causing severe itching. She is not presently sexually active and has had no burning
with urination. The symptoms started several days after her last period. She just finished a course
of antibiotics for a sinus infection. Her past medical history consists of type 2 diabetes and high
blood pressure. She is widowed and has three children. She denies tobacco, alcohol, or drug use.
Her mother has high blood pressure and her father died of diabetes complications. On examination
you see a healthy-appearing woman. Her blood pressure is 130/80 and her pulse is 70. Her head,
eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are unremarkable. Palpation of
the ing
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