Purpose: The purpose of this assignment is to apply advanced assessment and clinical reasoning skills to a patient presenting with symptoms of sexually transmitted infections and vaginitis. Students will analyze subjective and objective findings, interpret diagnostic data, and formulate evidence-based management approaches that reflect current clinical guidelines and patient-centered care principles.
Instructions: Read the patient case study provided and respond to the questions using clinical reasoning and evidence-based guidelines.
Patient Profile
A.B. is a 28-year-old G0P0 AA female presenting with 7 days of vaginal itching, burning with urination, dyspareunia, and abnormal vaginal discharge. She describes the discharge as thin, yellow-green, and foul-smelling. She reports two male sexual partners in the past 3 months with inconsistent condom use. The last STI screening was over one year ago. She used OTC miconazole without relief.
Pertinent History
· LMP: 2 weeks ago, regular cycles
· Contraception: Combined oral contraceptive pill
· Past STI: Chlamydia (treated, age 22)
· No chronic medical conditions
· No known drug allergies
Physical Exam
· Vitals: Stable, afebrile
· External genitalia: Mild erythema
· Vaginal exam: Thin, frothy yellow-green discharge
· Cervix: Mild erythema, friable
· Bimanual exam: Mild cervical motion tenderness
Diagnostic Findings
· Vaginal pH: 6.0
· Wet mount: Motile trichomonads, increased WBCs
· Nucleic Acid Amplification Test (NAAT): Trichomonas vaginalis positive
· Urinalysis: Negative
· Pregnancy test: Negative
Assignment Questions
1. Identify the most likely diagnosis and two differential diagnoses.
2. Explain which clinical findings support the primary diagnosis.
3. Outline evidence-based treatment according to current CDC guidelines.
4. Describe appropriate patient education and partner management.
5. Identify recommended follow-up and rescreening.
· Submission Instructions: Submissions (at least 2-3 pages excluding the title and reference pages) supported by at least two current scholarly sources
· No AI detectable, no plagiarism, turnitin similarity report must be less than 5%
· All paragraphs must have 5 sentences.
· All references must be cited
· All references must include “doi” if applicable
· Use current apa format
Grading Rubric
Your assignment will be graded according to the grading rubric.
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