iHuman Case Study:
Nancy Campbell
Name
Course
Date
, Case Synopsis
• Ms Nancy Campbell is 25 years old. She comes to the clinic complaining of three old dysuria. She adds
that she has a creamy discharge from the vagina and dysuria. With the explanation given by the patient,
these symptoms differ from those of UTI. Pt is sexually active with multiple sexual partners and reports
to have unprotected safe after which she uses oral contraceptive pills. Denies prior pregnancy or other
related symptoms. Patient presents with symptoms that suit those of cervicitis as she describes them.
Denies fever, nausea, vomit and chills.
• Treatment plan involved Ceftriaxone 250mg intramuscular dose after lab tests and Azithromycin 100mg
one oral dose. Plan also involved patient education on the essence of protected sex and abstinence.
• Cervicitis is an illness that exposes the patient to endometriosis or Pelvic Inflammatory disease. Other
risks associated with this illness include chronic pelvic pain, ectopic pregnancy and infertility (Buttaro et
al., 2017). This is a sexually transmitted illness which puts patients at a risk of getting HIV-1.
, HPI
• CC: Dysuria.
• HPI: Pt is 25 years old. She presents to the office with dysuria which started three days
ago. Reports to have a UTI hx and states that the burning sensation felt now is different
from the one she had when she had UTI. Reports that her urine presents in little amounts.
She states to have a creamy vaginal discharge and reports that it comes three times in a
day. Denies abdominal pain, chills, fever, vomit and nausea. Denies breast tenderness.
She reports that her dysuria is relieved by soaking in warm water. Her examination
revealed a vaginal discharge coming from the cervix (Mucopurulent). Cervix tenderness
is present. Patient is sexually active with several sexual partners and uses oral
contraceptive pills for pregnancy prevention.
Nancy Campbell
Name
Course
Date
, Case Synopsis
• Ms Nancy Campbell is 25 years old. She comes to the clinic complaining of three old dysuria. She adds
that she has a creamy discharge from the vagina and dysuria. With the explanation given by the patient,
these symptoms differ from those of UTI. Pt is sexually active with multiple sexual partners and reports
to have unprotected safe after which she uses oral contraceptive pills. Denies prior pregnancy or other
related symptoms. Patient presents with symptoms that suit those of cervicitis as she describes them.
Denies fever, nausea, vomit and chills.
• Treatment plan involved Ceftriaxone 250mg intramuscular dose after lab tests and Azithromycin 100mg
one oral dose. Plan also involved patient education on the essence of protected sex and abstinence.
• Cervicitis is an illness that exposes the patient to endometriosis or Pelvic Inflammatory disease. Other
risks associated with this illness include chronic pelvic pain, ectopic pregnancy and infertility (Buttaro et
al., 2017). This is a sexually transmitted illness which puts patients at a risk of getting HIV-1.
, HPI
• CC: Dysuria.
• HPI: Pt is 25 years old. She presents to the office with dysuria which started three days
ago. Reports to have a UTI hx and states that the burning sensation felt now is different
from the one she had when she had UTI. Reports that her urine presents in little amounts.
She states to have a creamy vaginal discharge and reports that it comes three times in a
day. Denies abdominal pain, chills, fever, vomit and nausea. Denies breast tenderness.
She reports that her dysuria is relieved by soaking in warm water. Her examination
revealed a vaginal discharge coming from the cervix (Mucopurulent). Cervix tenderness
is present. Patient is sexually active with several sexual partners and uses oral
contraceptive pills for pregnancy prevention.
