Amy is a 21 year old female attending the university of...

Amy is a 21-year-old female attending the University of Cincinnati. She is complaining of vaginal discharge, itching, dysuria, and a sore throat. She is a non-smoker, an occasional runner, eats a healthy diet, has not prior history of an STI, and her last HIV test was one year ago. She has no other symptoms.

A 22-year-old woman presents at the walk-in health clinic with a slight fever (38.5°C), a complaint of frequent urination, burning on urination, vaginal discharge, and a small lesion on the labia. The woman reported that she was moderately sexually active and had three sexual partners in the past six months. Her last sexual contact was about 5 days earlier. She had developed mild symptoms about 5 days earlier, beginning with discharge from the vagina. She began having pain on urination about 3 days earlier. Urine analysis revealed a pH of 8.2, some white cells, and a few red blood cells. There was protein in the urine. A smear of the vaginal secretion showed a number of Gram-negative cocci. What is your diagnosis here? What clinical features are critical to your diagnosis? What further actions must be taken?

Suman K.

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