The following case study has three questions that are highli…

Questions

The fоllоwing cаse study hаs three questiоns thаt are highlighted in yellow to address.  Please address each one separately and thoroughly.   History: A 21 year old female presents to the clinic with complaints of vaginal discharge that started about 3 weeks ago.  She states that she is approximately 9 weeks pregnant.  She describes the discharge as creamy in color and states that it has a strong odor.  She states that there is no itching, bleeding, or abdominal pain.  She has had 2-3 previous episodes that were similar to this one prior to pregnancy.   She has been with her sexual partner for the past 3 years and neither of them have had any other sexual partners.  Until 3 months ago, they always used a condom.  She has never had a cervical Pap smear. Examination: The external genitalia appear normal.  On speculum examination there is a small amount of smooth grey discharge along the walls of the vagina.  There is no bleeding.  What is the diagnosis and differential diagnosis for this patient? How would you manage this patient? Are there any implications for the pregnancy?

The fоllоwing cаse study hаs three questiоns thаt are highlighted in yellow to address.  Please address each one separately and thoroughly.   History: A 21 year old female presents to the clinic with complaints of vaginal discharge that started about 3 weeks ago.  She states that she is approximately 9 weeks pregnant.  She describes the discharge as creamy in color and states that it has a strong odor.  She states that there is no itching, bleeding, or abdominal pain.  She has had 2-3 previous episodes that were similar to this one prior to pregnancy.   She has been with her sexual partner for the past 3 years and neither of them have had any other sexual partners.  Until 3 months ago, they always used a condom.  She has never had a cervical Pap smear. Examination: The external genitalia appear normal.  On speculum examination there is a small amount of smooth grey discharge along the walls of the vagina.  There is no bleeding.  What is the diagnosis and differential diagnosis for this patient? How would you manage this patient? Are there any implications for the pregnancy?

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