Ms. K.C.. is a 25 y.o. white female, who presents to the emergency department with complaints of dysuria, clear vaginal discharge and vaginal itching. She states she started to notice these symptoms a couple days ago, so she decided to come get checked out. She endorses having unprotected sex with multiple sexual partners in the last 2 weeks as well as having a history of drug abuse.
Past Medical History:
- Appendectomy, age 18 y.o.
- Generalized Anxiety Disorder, diagnosed age 20 y.o.
- Gastroesophageal Reflex Disorder, diagnosed age 24 y.o.
Pertinent Family History:
- Mother has a history of Pelvic Inflammatory Disease and recent Hysterectomy at age 57
- Father has a history of Hypertension and Hyperlipidemia at age 58
- Brother is alive and well with no pertinent medical history at age 21
- Sister died of cervical cancer at age 27
Pertinent Social History:
- Heavy alcohol use: patient reports drinking 4-5 days a week, consuming 20 drinks/week
- Current everyday smoker: 1 pack/day for 7 years
- History of multiple sexual partners, uses oral contraceptives for protection, denies use of condoms
- Drug abuse, cocaine use occasionally and marijuana daily