Episodes of pain

Case 94 26-year old white female presents in her physician’s office with genital itching and sharp, severe pain on the labia. She complains of three previous episodes of pain over the past 6 months, each of which was followed by the appearance of red sores which crusted and healed without a scar.

On examination, the physician observes a cluster of small red blisters localized in

the area of the worst pain. No significant discharge was observed from the

vagina. The patient’s urine was clear and yellow. Urinalysis revealed normal

specific gravity, no sugar, no protein, no white blood cells or red blood cells, and

no bacteria. The patient’s temperature was 36.5C.

The patient history reveals that she is unmarried. She is moderately sexually

active and currently using an oral contraceptive which she has been taking for

about 4 years. The woman stated that she has had 5 sexual partners over the

past year. She reported that her episodes have become progressively more

severe.

1. What type of infection do you believe he has? what microorganism is causing this disease?

2.  From complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?

3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?

4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?

Please reference and cite and also keep both studies separated and numbered! And keep the answered questions and explanation together. thank you!

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