Week 7 iHuman NR602: Vaginal itching and discharge

Maryam Perkins
22 y/o
5′ 2″ (157 cm)
145.0 lb (65.9 kg)

Reason for encounter
Vaginal itching and discharge

Location
Outpatient clinic with x-ray, ECG, and laboratory capabilities

Sample of the case content-Full version  include ALL history, physical  exam, findings, test, diagnosis, and plan

1. Q: When did the discharge occur relative to your menstrual cycle?
   A: I do not think this is related to my period.
2. Q: Does anything make your vaginal discharge/discomfort better or worse?
   A: Not really.
3. Q: How severe is your vaginal discharge/discomfort?
   A: I would say moderate.
4. Q: What treatments have you had for your vaginal discharge/discomfort?
   A: I bought some miconazole over the counter and followed the instructions on the box. It was a three-day treatment. Those are so inconvenient and messy, but they have worked before. I wish it had this time.
5. Q: Do you have any allergies?
   A: No.
6. Q: Do you have chills?
   A: I don’t really have that problem.
7. Q: Do you have pain with intercourse?
   A: Haven’t really tried since all this started.
8. Q: Are your immunizations up to date?
   A: Yes. Flu, covid, HPV, tetanus. I try to keep up with all of them.
9. Q: Are you having or have you had unprotected sex?
   A: Well, yes, we really don’t use condoms or anything.
10. Q: Does your vaginal discharge/discomfort come and go?
    A: The itching seems more constant than the discharge. But they’ve both been noticeable more on than off over the last few days.
11. Q: Has there been a change in your urination frequency?
    A: No.

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