[Question #4961] Questions
78 months ago
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Hello Doctors, I am currently looking through past
medical records and am curious about a previous case of undiagnosed
cervicitis. My symptoms were as follows:"Urinary Symptoms, Description:
Onset: 1 week ago. There is no radiation. Location is suprapubic. The patient
describes it as burning. It occurs occasionally. The problem is with no change.
Context: post-coital and new partner. Denies aggravating factors. Denies
relieving factors. Additional information: no history of interstitial cystitis,
no history of irritable bowel, no history of pyelonephritis, no history of
stones, no history of UTIs, sexually active and LMP: 07/13/2017. Pelvic Pain
(chief complaint). Description: Onset 1 week ago. There was no radiation.
Location is left, right and midline. The patient describes it as aching, sharp
and Notes white d/c. It occurs constantly. The problem is unchanged. Context:
after intercourse, increased STD risk and with intercourse. Symptom is
aggravated by intercourse. Denies relieving factors. Associated symptoms
include dysuria and dyspareunia. Pertinent negatives include amenorrhea,
bloating, constipation, diarrhea, dysmenorrhea, fatigue, fever, hematuria,
nausea, rectal bleeding, urinary frequency, vaginal bleeding, vaginal discharge
and Denies odor or itching."I tested negative for chalmydia and gonnorhea
and the following procedures were performed: Amines, vaginal fluid,
qualitative, Assay, body fluid acidity, Smear, stain & interpret,
wet." I was prescribed Zithromax 500 mg tablet. The
symptoms went away after a few days. When I asked the doctor what the
cause was she was not certain and did not report any bv, trich, or yeast
infection. Based on the procedures performed, am I to assume I was
not diagnosed with BV, yeast, or trich? The diagnosis on the chart were
as follows: "Inflammatory disease of cervix uteri; Acute vaginitis;
Dyspareunia; Dysuria; High risk heterosexual behavior." Is it possible
this wasn’t an STI? Should I have had partners treated?
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Edward W. Hook M.D.
78 months ago
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78 months ago
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What makes you say that I was tested for trich? Is there a reason why the Planned Parenthood
reports do not report the results for trich, and other possible infections? Is
there a chance that the test missed the trich and the azithro cleared up the
trich? What would the more definitive lab results report? And, based on my symptoms, should I have been
told to notify my current partner at the time? Is there any benefit to
notifying them now or is it more likely than not that I did not have an STI,
even though my symptoms were relieved with the azithro? Could this possibly be
a herpes infection? No lesions were reported and the antibiotics helped.
78 months ago
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Edward W. Hook M.D.
78 months ago
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78 months ago
|
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Edward W. Hook M.D.
78 months ago
|