Your Perfect Assignment is Just a Click Away

We Write Custom Academic Papers

100% Original, Plagiarism Free, Customized to your instructions!


Vaginal Itching

Vaginal Itching

Vaginal Itching


Martha is a 24-year-old female who presents to the clinic with a 3 day history of vaginal itching. She states that she can barely focus on other things because of the itching. She also reports a copious, white vaginal discharge. Her last Pap smear was at age 21 and was negative. She has not received the HPV vaccine series. Martha denies previous episodes and states that she is otherwise healthy. She denies fever, chills, nausea, vomiting, or diarrhea. She is sexually active and has been with females and males since she was 15 years old. She states that recently she has been exclusively with females but has only had 2 relationships in the past year. She states that she feels somewhat confused about her sexual preferences. She admits to dyspareunia and burning with urination. She denies use of vaginal sprays, douches, or powders or the use of new soaps, detergent, or clothing. Martha does like eating sweets, she admits to wearing a thong regularly.

Past medical history: Tonisillectomy at age 7 years.

Family history: Remarkable for diabetes mellitus and COPD

Social history: Martha is a college graduate and still lives with her widowed mother. She feels safe and has a good relationship with her mother but has not disclosed her sexual preferences to her. Martha does worry about their financial status as she and her mother have two low paying jobs and do not have other financial support. They are currently renting their apartment from a friend.

Medications: None (no antibiotics, steroids, or estrogens)

Allergies: Seasonal in Spring


Vital signs: Martha is afebrile. B/P 110/70, pulse 64 and regular, RR 12 and unlabored, weight 120 lbs., height 5 ft. 3 inches

General: Pleasant and cooperative but seems anxious about the visit.

Cardiac: Regular rate and rhythm

Resp: Lungs CTA

Abd: Soft, nontender, nondistended and without organomegaly.

Pelvic Exam: Inguinal lymph nodes are without swelling or tenderness; vaginal mucosa is moist, pink, and mildly swollen. There is not foul odor; but there is a white cottage cheese-like discharge at the introitus. The cervix is pink and without friability. There is a negative chandelier sign. The pH of the discharge is within normal range (3.8-4.2). The wet prep indicates pseudohyphae.

List at least 3 differential diagnoses (rule in or out by objective data or lab work).
Create an appropriate plan of care for this patient.

Order Solution Now

Our Service Charter

1. Professional & Expert Writers: Homework Place only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided by Homework Place are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Homework Places is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At Homework Place, we have put in place a team of experts who answer all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.