38 y/o G0 woman presents to your outpatient clinic complaini | Figure 1

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38 y/o G0 woman presents to your outpatient clinic complaining of pelvic pain for the past 2 days.

A 38-year-old G0 woman presents to your outpatient clinic complaining of pelvic pain for the past 2 days. The pain is localized to the left side, intermittent throughout the day, and mild (3/10) in severity but causes her to wake up at night. She has no past medical or surgical history, does not take any medications, and her menses are regular. She denies fevers, nausea, vomiting, or vaginal discharge, but reports intermittent constipation over the past few months. Vitals signs include a temperature of 37°C (98.7°F), blood pressure of 128/78 mm Hg, heart rate of 64/min, respiratory rate of 14/min, and an oxygen saturation of 99% on room air.

What is your initial differential diagnosis?

Question from Obstetrics & Gynecology Morning Report, 1st Edition. ISBN: 9780323496131. Copyright ©2019 Elsevier, Inc.

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a previously presented case came to me at rural area for the same complaint who she had before two months , which was Milky watery vaginal discharge but this time she described her the amount like a menstrual cycle of watery discharge , which associated with lower back pain and Dysuria . she has to change pads everyday due to the discharge . its odorless and non sticky . she took Bactrim for 1 week and Metronidazole for 14 days it eased her condition previous month but after ending her cycle this month the condition became worse. Blood investigations and Vaginal swab culture showed no growth and no abnormality . What do you think the diagnoses is and what are next steps to end the discharge ?

29 year old male. No past medical history. No prescription medications. New onset penile lesions x 5 days. Non tender. Intermittent exudate. Well demarcated erythematous borders with central ulceration. Monogamous with single female partner x 6 months. No dysuria. No pelvic lymphadenopathy. No fevers. No malaise. No weight loss. No prior vesicular phase.

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