A 23-year-old cisgender woman presents with a 5-day history…
A 23-year-old cisgender woman presents with a 5-day history of vaginal itching, burning vulvar discomfort after urination, and a new vaginal discharge. A pelvic examination reveals a thick, white vaginal discharge and an examination of the external genitalia reveals significant vulvar edema and erythema. She has no other medical problems, takes no medications, and reports one prior episode of vulvovaginal candidiasis about three years prior. Which one of the following is the preferred initial step in attempting to make a diagnosis of vulvovaginal candidiasis in a woman with suspected uncomplicated vulvovaginal candidiasis?
Read DetailsA 27-year-old woman comes to the emergency room with a sever…
A 27-year-old woman comes to the emergency room with a severe “viral syndrome” and the clinician considers acute HIV in the differential diagnosis. Which cluster of clinical manifestations best describes a typical presentation for persons with acute HIV?
Read DetailsA 42-year-old woman with HIV presents to the clinic with a c…
A 42-year-old woman with HIV presents to the clinic with a concern about genital warts. She has noticed them over the past several months and would like to have them removed. She prefers self-treatment, in the privacy of her home. On physical examination, you confirm that she has multiple vulvar warts, each less than 0.5 cm. Which one of the following is an appropriate self-application treatment of vulvar warts for this woman?
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