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Soap Note on Vaginal Yeast Infection

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Soap Note on Vaginal Yeast Infection SUBJECTIVE (S) CC: “I have vaginal itching and irritation, unusual vaginal discharge and a burning sensation when urinating and during sexual intercourse.� ... � HPI: Ms Y is a 23 years old Caucasian female who visits the office and reports vaginal itching and irritation. She also adds that she has been having a burning sensation during sexual intercourse and during urination and in the past two days, she has been noticing thick white vaginal discharge. Patient states that she started having the vaginal itching and irritation about four days ago and she started having a burning sensation during urination and sexual intercourse about a week ago. Patient states that the symptoms started as mild and have been getting worse as days go by. Patient states that she has a boy friend and that she is sexually active. She denies multiple sexual partners and admits to having unprotected sex. Patient says that she uses Depo-Provera Shot contraceptive. [Show More]

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