Level 2: Vaginal Discharge – Contrasting Case #2: Patient Information

Given these changes from the original case, what is your diagnosis?

What is your diagnostic explanation?

As compared to the long case, this patient is a 25 year old female who presents to Urgent Care with vaginal discharge. She states that over the past few days she has begun to notice excessive vaginal discharge. She states that she also has significant vaginal itching/burning and irritation. She has also noticed some skin lesions around her labia. She is currently sexually active with one partner. She currently uses birth control as a means of contraception.

PMH, SH, and FMH: Same as in the long case.

General: No fatigue, fevers, chills.
GI: No nausea/vomiting. No diarrhea/constipation.
GU: Mild dysuria. No hematuria. Vaginal itching and burning.

PE –
VS: Height 5’5” Weight 150lb BMI 25 HR82 BP120/80 RR16 98.5F
Cardiac: S1 and S2 audible. Regular rate and rhythm. No murmurs
Lungs: Clear to auscultation bilaterally. No adventitious sounds present.
Abdomen: Soft, nontender, nondistended. No organomegaly present.

GU: Vaginal erythema and irritation present. Multiple blisters present around labia major.