DF is a 25-year-old Hispanic female presenting to the clinic for foul smelling vaginal discharge that started three days ago. DF describes the vaginal
discharge has a copious amount of yellow greenish discharge that has a pungent odor. DF describes the smell as fishy and denies any vaginal or pelvic pain
associated with the discharge. Furthermore, one day ago DF did use a vaginal boric acid suppository to help with her symptoms. She explains that the vaginal
suppository worsened her symptoms and caused some irritation to her peri area. She denies irregular bleeding, painful coitus, and pelvic/abdominal pain. DF is
sexually active and has had four new partners within the last six months. She reports that she occasionally uses condoms and does have a positive history for STDs
(reportedly gonorrhea). Her last sexual encounter was right after using the vaginal suppository, and she denied condom use.
General: denies fevers, chills, fatigue, weight gain
Dermatology: denies moles, rashes, pruritis
HEENT: denies headache, nasal congestion, earaches
Neck: denies painful swallowing, swelling,
Pulmonary System: denies cough, increased work of breathing, or breathlessness
Cardiovascular System (CVS): denies chest pressure, dizziness, irregular heartbeat
Breast: denies breast tenderness, breast discoloration, mass
Gastrointestinal (GI) System: denies constipation, abdominal pain, nausea and vomiting
Genitourinary (GU) System: denies polyuria, dysuria, incomplete emptying of bladder
Female Genitalia: reports copious amounts of yellowish green vaginal discharge, reports fishy vaginal odor, and vaginal irritation. LMP 1/2/23.
Musculoskeletal System: denies noisy joints, difficulty bending, and joint stiffness
Psychologic: denies suicidal ideation or feelings of wanting to harm others, anxiousness, sadness, and feeling overwhelmed
Vitals: BP 136/ 78, RR 22, Temp 37 , HR 66, O2 97% RA, Weight 176 lb, Height 5ft 5nch, BMI 29.3 (overweight)
General: Alert and oriented, in no acute distress, well groomed, behavior appropriate
HEENT: Head is normocephalic. Scalp clean without dandruff. Ears: Ear canal patent. Tympanic membrane without peroration. Eyes: PERRLA, EOM intact.
20/20 vision in both eyes. No nystagmus. No conjunctival irritation. Nose: Mucosa is pink. No bleeding. Throat: Moist oral mucosa
Cardiovascular: S1 & S2 auscultated. No abnormal heart sounds. JVD is negative. Carotid, radial and pedal pulses +2 bilaterally. No extremity edema present.
Respiratory: Respirations are even and unlabored. Respiratory rate 18. No SOB. Chest expansion equal. Clear lung sounds in all lobes.
GI: Normoactive bowel sounds. No abdominal distention. Abdomen nontender to palpation.
GU: Bladder is not palpable. Right kidney palpable. Left kidney not palpable. CVA without tenderness.
Female Genitalia: vaginal cultures: Yellowish greenish discharge with potent fishy odor. Uterus not enlarged. Non tender uterus. Ovaries are not palpable. Cervix
with small petechiae.
Breast: breast size equal in size bilateral, no dimpling present, no mass palpated; breast is nontender and nonpainful
Musculoskeletal: : No gait unsteadiness. Active ROM in all joints. Spine is without deformity. No muscle weakness noted.
Integumentary: Skin is intact. Skin tone is even. No jaundice present. Skin turgor is normal. Skin is warm to touch. Normal nail bed, no clubbing
Neuro: A/O X 3. Speech is slowed and clear. Sensation is intact in all extremities. Tendon reflexes are +2 bilateral. Cranial nerves not tested.
Hematologic: No active bleeding. No bruising present. No petechiae.
Psych: Normal and coherent thought processes. No signs of mania. No signs of depression.
Why Work with Us
Top Quality and Well-Researched Papers
Our writers have been trained on how to handle papers placed by our clients. The writer must read and understand before embarking on writing the papers. In case of any issue that needs clarification, writers are encouraged to ask the client or support.
Professional and Experienced Academic Writers
Our team comprises of the best writers and editors. We do thorough vetting during recruitment to make sure that our writers have the knowledge and experience we aspire in the team.
Free Unlimited Revisions
Our aim is to give the client the best outcome. If for some reason you are not satisfied with the wok done, you can ask the paper to be revised or rewritten. This will be done to your satisfaction with no extra charges.
Prompt Delivery and 100% Money-Back-Guarantee
We have writers who work round the clock. This helps in making sure that all our clients’ papers are delivered on time. If we have issues with the deadline, we will ask for extension. If its not possible, the money is fully refunded.
Original & Confidential
Our clients’ confidentiality is highly respected. We can never disclose our clients’ details to third parties. In the same regard, we strive to give our clients 100% original papers. We do not tolerate plagiarism from our writers.
24/7 Customer Support
Clients can reach us any time of the day, and any day of the week. There is a live chat, email or phone numbers to help in ease of communication.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
You should never be worried about your papers even in the middle of the night. Our team will work round the clock to deliver.
We have an able team that can deliver your work in the shortest time possible. The academic level or the type of work should never be a hindrance. Our highly competent support team is always around (24/7) to give you any assistance you may need.
Admission Essays & Business Writing Help
Do you need to be admitted in your dream institution but find it challenging to write an admission essay? Our team is in a position to write the best letter that will guarantee you an admission. We do as well write the best business proposals and reports.
Writing can be fun and enjoyable when everything has been done right. Writing is not just enough without proper editing and proofreading. We have a team of editors that ensure everything falls in place, whether its issues to do with grammar or referencing styles.
Once the paper has been done and submitted, that is not the end of it. You can always ask for amendment or improvement if you feel something has not been done right. Our team of writers and editors will gladly assist you to your satisfaction. Revision is free of charge.