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| A 63-year old female presents with an irritating vaginal discharge. She has been post-menopausal for the past 10 years and stopped taking Hormonal Replacement Therapy last year. On examination, her vagina is thin and atrophic and there is a malodorous watery vaginal discharge. |
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| A 23-year old female presents with a malodorous vaginal discharge that is worse after sexual intercourse. On examination, there is a fishy smelling vaginal discharge. The vaginal pH is 6.5. There are numerous clue cells and the amine or whiff test is positive. |
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| A 35-year old obese female presents with an itching vaginal discharge two weeks after a course of broad-spectrum antibiotics. On examination, there is white cheesy vaginal discharge. A KOH-treated slide of the discharge shows branching hyphae and buds. |
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| A 36-year old sexually-active female presents with post-coital bleeding. She became sexually active at the age of 14 and has had a number of sexual partners. On examination, there is an erosion on her cervix which bled when a pap smear was taken. Pap smear shows numerous atypical squamous cells. |
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| A 21-year old sexually-active female complains of lower abdominal pain, fever and a vaginal discharge. On examination, there is suprapubic tenderness. Movement of the cervix during a pelvic examination causes pain. There is a mucoid discharge coming out of her cervical os. CBC shows leukocytosis and neutrophilia. |
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| A 65-year old post-menopausal female presents with vaginal bleeding after 10 years after the cessation of her menses. On examination, there is bright red blood and clots in her vagina. Endometrial biopsy shows a number of neoplastic endometrial cells. |
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| A 19-year old sexually-active female presents with dysuria and a purulent vaginal discharge. On examination, there is a thick purulent discharge coming out of the cervical os. Microscopy of the discharge shows numerous Gram negative intracellular diplococci. |
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| A 21-year old female presents with dyspareunia. On examination, there are numerous shallow ulcers on the left labia minora. |
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| A 24-year old sexually-active female presents with severe lower abdominal pain and fever. She also has dyspareunia. On examination, there is tenderness in both iliac fossae. Pelvic examination reveals tenderness on movement of her cervix. Ultrasound shows fluid in the rectouterine pouch and swollen uterine tubes. |
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Definition
| Pelvic Inflammatory Disease |
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| A 22-year old female presents with a sore on her vulva. On examination, there is a firm, painless sore on her right labia majora. |
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