NR_602 Nancy Campbell:”Pain
With Urination”Nancy Campbell
is a 25 year old female patient
who present…EXPERT
FEEDBACK
, Slide 1
Campbell Case Summary
Acute cervicitis is an illness caused by an infection of the cervix. It is the inflammation of the
uterine cervix and causes an effect on the columnar epithelial cells in the outer part of the cervix.
At times, the infection may happen to the ectocervix. Patients with acute cervicitis are at risk of
getting illnesses such as gonorrhoeae and chlamydia as the causing organisms of these illnesses
are highly identifiable. This illness has a clinical significance as it puts the patient at the risk of
getting endometriosis or Pelvic Inflammatory Disease (PID). Other related risks are infertility,
chronic pelvic pain and a higher risk of ectopic pregnancy. The pathogens that cause this illness
can be sexually transmitted to the patient's sexual partners. According to Butaro, Trybulski,
Polgar-Bailey & Sandberg, (2017), there is a high risk of shedding and acquisition of HIV-1 in
patients with cervicitis.
Slide 2
HPI
CC: Pain With Urination
History of Patient’s Illness: Ms Nancy Campbell is a 25-year-old female patient who presents
to the clinic with a chief complain of three-day old dysuria. She reports of a history of urinary
tract infection and the burning sensation now is different from when she had UTI. Patient reports
that other accompanying symptoms include increased urination frequency with urine that comes
in small amounts. The patient reports that she has a creamy vaginal discharge that happens three
times a day. Patient denies chills or fever, denies nausea, vomit or abdominal pain. Patient also
denies breast tenderness. Patient reports that dysuria is relieved by soaking in warm water. After
a physical examination, results show that there is a mucopurulent vaginal discharge that comes
from the cervix. Tenderness is also noted. Patient reports of being sexually active and have more
than one sexual partners and does not practise safe sex and instead takes contraceptive pills as a
means of preventing pregnancy.
Slide 3
Medical History
Patient had urinary tract infection twelve months ago.
No known allergies.
No medical intolerances
No chronic health complications or major traumas.
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