iHuman Case Study: Nancy Campbell (Complete And Verified Study material) (22pages) LEARNEXAMS

Ms. Nancy Campbell is 25 years old and comes to the clinic complaining of dysuria that has lasted for three days. Other accompanying symptoms include a creamy vaginal discharge and an increased urination frequency. Ms. Campbell’s symptoms differ from those of UTI as she explains. She is sexually active and have more than one sexual partner and denies having protected sex instead opting for oral contraceptive pills. She denies ever being pregnant before and denies other symptoms. Symptoms presented suit those of cervicitis as described in this presentation. She denies chills, fever and other gastrointestinal symptoms such as nausea and vomiting. She was treated pharmacologically using Azithromycin 1000mg single dose to be taken orally and ceftriaxone 250mg IM single dose after a series of lab tests. The management plan was accompanied by patient education on abstinence and having protected sex. This illness has a clinical significance as it puts the patient at the risk of getting endometriosis or Pelvic Inflammatory Disease (PID). Other related risks are infertility, chronic pelvic pain and a higher risk of ectopic pregnancy. The pathogens that cause this illness can be sexually transmitted to the patient's sexual partners. According to Butaro, Trybulski, Polgar-Bailey & Sandberg, (2017), there is a high risk of shedding and acquisition of HIV-1 in patients with cervicitis.