White Cottage Cheese-Like Discharge
31-year -old Caucasian female born 11/19/1985. She was born and raised in Murfreesboro, TN. She works part-time as a social worker and spends the rest of her day at home with her 3-year-old son. She is happily married to her husband of 8 years.
Reason for Seeking Care/Chief Complaint: “I am having white, cottage cheese-like discharge and it hurts to pee”
History of Present Illness:
Patient presents to the clinic with complaints of having a constant white, cottage cheese-like vaginal discharge. She states she has associated symptoms such has vaginal itching and dysuria. Patient admits she gets bacterial and yeast infections easily, especially if her husband does not perform proper genital hygiene before intercourse. She denies having intercourse since symptoms started. Patient denies fever, chills, nausea, vomiting, pelvic pain, urinary urgency or frequency and hematuria. She also denies vaginal bleeding, genital lesions, erythema and irregular menses. Patient states she has not tried taking any over-the-counter creams or ointments to relieve symptoms as they “have never worked” in the past, but did try to douche because she thought it was “worth a shot” to make the discharge “go away” however, it did not improve symptoms. Patient also denies changing laundry soaps, fabric softeners or body soaps. She states she does wear …show more content…
This includes dressing, grooming, bathing, cooking, cleaning and driving. Patient states she primarily does all the grocery shopping, meal prepping and takes care of the finances. She enjoys eating healthy and exercises as often as she can. She states her exercise of choice is running and kickboxing. Patient reports she enjoys playing outside with her son, reading him books and participating in community activities for his age group. She attends a local Baptist church with her husband and wants to start participating in a weekly bible study for married
Reason for Seeking Care/Chief Complaint: “I am having white, cottage cheese-like discharge and it hurts to pee”
History of Present Illness:
Patient presents to the clinic with complaints of having a constant white, cottage cheese-like vaginal discharge. She states she has associated symptoms such has vaginal itching and dysuria. Patient admits she gets bacterial and yeast infections easily, especially if her husband does not perform proper genital hygiene before intercourse. She denies having intercourse since symptoms started. Patient denies fever, chills, nausea, vomiting, pelvic pain, urinary urgency or frequency and hematuria. She also denies vaginal bleeding, genital lesions, erythema and irregular menses. Patient states she has not tried taking any over-the-counter creams or ointments to relieve symptoms as they “have never worked” in the past, but did try to douche because she thought it was “worth a shot” to make the discharge “go away” however, it did not improve symptoms. Patient also denies changing laundry soaps, fabric softeners or body soaps. She states she does wear …show more content…
This includes dressing, grooming, bathing, cooking, cleaning and driving. Patient states she primarily does all the grocery shopping, meal prepping and takes care of the finances. She enjoys eating healthy and exercises as often as she can. She states her exercise of choice is running and kickboxing. Patient reports she enjoys playing outside with her son, reading him books and participating in community activities for his age group. She attends a local Baptist church with her husband and wants to start participating in a weekly bible study for married