A 16-year-old adolescent girl presents to your office with the complaint of greenish vaginal discharge for the past two months and the recent onset of lower abdominal pain. She reports that her last period was about two and a half months ago. She is sexually active with two partners and has never used a condom or any other contraception with either. On physical examination, she is not febrile with normal blood pressure and pulse. She has greenish discharge from the cervix with friability and cervicitis. There is no cervical motion tenderness. Her urine pregnancy test is positive. A cervical sample is positive for chlamydia and negative for Neisseria gonorrhoeae. Her rapid plasma reagin (RPR) is non-reactive and an HIV test is negative.

 

The patient is treated with appropriate antibiotics and counseled concerning safer sex practices. You also inform the patient regarding her risk for HIV conversion, even though today's test was negative. The patient asks if you are going to tell her mother that she is pregnant and has this infection. You inform the patient that because of patient confidentiality and ethical considerations you will not disclose this information to her mother without her consent. She tells you that she does not want her mother and boyfriends to know that she is infected. 

 

Be sure to listen until the end when I will be presenting four questions with multiple choice answers and check back on Friday to the May's Anatomy Podcast instagram page for the answers! 

 

If you are interested in starting your OWN podcast, but are not sure where to start, try the Operation Podcast Course for 30% off using code "MAY30"

 

Case Files: Family Medicine

 

To try my absolute favorite CBD product line from Cured Nutrition, use code "MAY10" at checkout for 10% off your entire order or simply click the link here Cured Nutrition

 

If you’re interested in consuming slow-release caffeinated vanilla or matcha lattes, or if you’re a coffee drinker who wants a little more collagen and protein in their diet, use code "MAY15" at checkout for 15% off your entire order or simply click the link here Strong Coffee

 

Use my WearFigs code to get a $20 gift card on purchases of $100+ http://fbuy.me/ofl13

 

For nursing tips, my experiences, and more musings on the show, follow our Instagram @maysanatomypodcast or follow my personal account  @mayyazdi

 

This is an Operation Podcast production. [email protected]