Case Study: Female Genitourinary Case- Vaginal Discharge
The three differential diagnosis for the female patient includes strawberry cervix, trichomoniasis, and sexual abuse.
Strawberry cervix was given as an option because of the presence of foul, greening discharge (Pietrangelo, 2018). The friable cervix is also a known symptom of the strawberry cervix.
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Trichomoniasis is also considered because of the greenish, foul discharge that the patient has been complaining about for two days. The patient also admitted to recurrent unprotected sex which may be the reason for the infection. While the patient revealed that she only has a single partner, the patient cannot be sure whether her partner also has a single partner.
Sexual abuse is considered because of the friable cervix which is indicative that something might have been pushed or forced in the woman’s vagina which causes the cervix to be irritated, thereby producing a greenish foul order (Casey, Long & Marnach, 2011).
Several tests can be done to verify the differential diagnosis. Amongst these include a pap smear, a pelvic exam, urinalysis, colposcopy and pH level tests. The patient can also be asked about her diet and her sexual activities. It may be a little too personal, but it can significantly help.
Case Study: Male Genitourinary Case- Vaginal Discharge
Among the three differential diagnosis include tysonitis, gonococcal urethritis, and urethral syndrome. All of these conditions report lesion located on the penile glans, along with burning and stinging sensation. There is also discharge found on patient’s underwear (Subramanian, 1981).
Among the tests that can be done to verify the diagnosis include Tzanck testing, urinalysis, and gram staining. The patient’s sexual activity may also be helpful in arriving at a proper diagnosis because this can rule out sexually transmitted disease (Wijesekara & Abeygunasekara, 2016).
References
Casey, P., Long, M., & Marnach, M. (2011). Abnormal Cervical Appearance: What to Do, When to Worry?. Mayo Clinic Proceedings , 86 (2), 147-151. doi: 10.4065/mcp.2010.0512
Pietrangelo, A. (2018). Strawberry Cervix: Symptoms, Causes, Treatment, and More. Retrieved from https://www.healthline.com/health/womens-health/strawberry-cervix#symptoms
SUBRAMANIAN, S. (1981). Gonococcal Urethritis with Bilateral Tysonitis and Periurethral Abscess. Sexually Transmitted Diseases , 8 (2), 77-78. doi: 10.1097/00007435-198104000-00009
Wijesekara, K., & Abeygunasekara, N. (2016). Gonococcal Tysonitis. Sri Lanka Journal Of Sexual Health And HIV Medicine , 2 (0), 47. doi: 10.4038/joshhm.v2i0.45
