SOLVED1167

A 22-year-old female presents to the ER for evaluation of dysuria and vaginal discharge. She has also had a few days of vaginal itching and irritation. She reports having sexual intercourse with a new partner two weeks ago. She has had 6 partners in her lifetime and uses condoms occasionally. She tested negative for STDs in her primary care provider’s office six months ago. She has never been pregnant and her last menstrual period was three weeks ago. On exam, she is well appearing and her vital signs are within normal limits. The vaginal exam reveals thick yellow discharge and moderate erythema with the presence of ulcers and vesicles. A urine pregnancy test is negative. What is the best course of treatment while waiting for the results of the nucleic acid amplification test for C. trachomatis and N. gonorrhea? A. Azithromycin 1 gram by mouth in a single dose B. Ceftriaxone 250 mg injected in to the leg once C. Doxycycline 100 mg by mouth twice daily for seven days plus ceftriaxone 500 mg intramuscularly once D. Doxycycline 100 mg by mouth twice daily for seven days
SCIENCE
HEALTH SCIENCE
NURSING

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