Case Study 3Charlene Baja is a 22-year-old G0 P0 L0 presents to the clinic today for burning with urination and

  

Case Study 3Charlene Baja is a 22-year-old G0 P0 L0 presents to the clinic today for burning with urination and fishy discharge for 3 days. She states she has a new boyfriend and they are having unprotected intercourse. She denies any other partners besides him.  Her medical history is remarkable for anxiety and depression.  Her surgical history is unremarkable. Her social history includes social alcohol, but she denies tobacco and any recreational drugs. She has no known drug allergies and takes a multivitamin and Srintec daily for oral contraception. Her health history reveals that her mother is alive with breast cancer in remission and hypothyroidism. Her paternal grandfather is alive with prostate cancer. Her sister has type 1 diabetes as well. Her father has HTN, diabetes type 2, and hyperlipidemia.  Charlene has one brother with no medical history.· Height 5′ 5″ Weight 148 (BMI 24.6), BP 132/68 P 62· HEENT: WNL· Neck: lymph nodes grossly normal· Lungs/CV: Chest is clear to auscultation bilaterally, normal respiration, rhythm, and depth upon exam· Breast: normal breast exam· Abd: suprapubic tenderness· VVBSU: WNL· Cervix: firm, smooth, copious amounts of green discharge present· Uterus: RV, mobile, non-tender· Adnexa: WNL*microscopic evaluation of vaginal fluid (wet mount) shows trichomonas (motile organisms)  Possible Diagnoses that can be given and what additional s can be asked (why would these be asked).  Health Science Science Nursing NRNP 6552 Share (0)