RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57675456
T1 Chapter 85. Chlamydia Cervicitis
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57675456
RD 2024/04/23
AB A  17-year-old  girl  presents  to  the  sexually  transmitted  disease  (STD)  clinic  because  her  boyfriend  was  diagnosed  with  a  Chlamydia  urethritis.  Both  she  and  her  boyfriend  admit  to  having  had  sexual  partners  in  the  past  before  starting  to  be  sexually  active  with  each  other.  On  physical  examination,  there  is  ectopy  and  some  mucoid  discharge  (Figure  85-1).  The  cervix  bled  easily  while  obtaining  discharge  and  cells  for  a  wet  mount  and  genetic  probe  test.  The  wet  mount  showed  many  white  blood  cells  (WBCs)  but  no  visible  pathogens.  The  patient  was  treated  with  1  g  of  azithromycin  taken  in  front  of  a  clinic  nurse.  She  was  sent  to  the  laboratory  for  rapid  plasma  reagin  (RPR)  and  HIV  tests  and  given  a  follow-up  appointment  in  1  week.  The  genetic  probe  test  was  positive  for  Chlamydia  and  all  the  other  examinations  were  negative.  This  information  was  given  to  the  patient  on  her  return  visit  and  safe  sex  was  discussed.