A 22-year-old woman presents with a chief complaint of a 4-day history of mild dysuria, described as, “It burns a bit when I urinate.” She denies fever, GI upset, urinary urgency and frequency. About 1 month ago, she entered a relationship with a male partner who is currently without symptoms. Clinical assessment reveals a friable cervix covered by a thick yellow discharge. Suprapubic, CVA and cervical motion tenderness are absent.  UA is positive for leukocytes and negative for nitrites, and microscopic examination of vaginal discharge reveals a large number of white blood cells (WBCs).  She is in no acute distress. Thie presentation is most consistent with:

A.  Pelvic inflammatory disease

B.  Lower urinary tract infection

C.  Genital herpes

D. Chlamydia trachomatis cervicitis. 

---
Youtube: https://www.youtube.com/watch?v=7X1T771b9ac&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=54

Visit fhea.com to learn more!