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Reproductive Case Study
Case Presentation:
An 20y.o., sexually active, college student has been
experiencing dysuria for the last couple of days. At one point he
noticed that a small amount of yellowish discharge from the tip
of his penis. He is in a relationship with his first sexual partner
for about 5 months. He has not experienced any similar
incidents in this time frame and wonders if his partner has been
monogamous. He made an appointment at the school clinic to
seek care. He has provided a urine specimen for evaluation.
Physical Exam:
T, 100.6; HR 82, R 18, Bp 120/76.
Yellow discharge noted on penile area
Low back pain
Unilateral left painful, swollen scrotum
Culture was also done to identify the organism
Questioning occurred related to his sexual partners.
Test results came back positive for chlamydia.
Questions:
1. Originally considered a virus, Chlamydia is now recognized
as a bacteria. Why is this so?
2. Chlamydial organisms are obligate non-motile intracellular
parasites associated with many sexually transmitted diseases.
Why?
3. Why can this virus remain latent or subclinical for years
before it is diagnosed?
4. What are the treatment options for this patient? Note where
you found the evidence to support this treatment.
5. Why did the medical professionals ask him about his sexual
partners?
6. If untreated, what complications could occur to his sexual
partner?
7. What education is needed for this patient to prevent this from
occurring again?
.

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Reproductive Case StudyCase PresentationAn 20y.o., sexu.docx

  • 1. Reproductive Case Study Case Presentation: An 20y.o., sexually active, college student has been experiencing dysuria for the last couple of days. At one point he noticed that a small amount of yellowish discharge from the tip of his penis. He is in a relationship with his first sexual partner for about 5 months. He has not experienced any similar incidents in this time frame and wonders if his partner has been monogamous. He made an appointment at the school clinic to seek care. He has provided a urine specimen for evaluation. Physical Exam: T, 100.6; HR 82, R 18, Bp 120/76. Yellow discharge noted on penile area Low back pain Unilateral left painful, swollen scrotum Culture was also done to identify the organism Questioning occurred related to his sexual partners. Test results came back positive for chlamydia. Questions: 1. Originally considered a virus, Chlamydia is now recognized as a bacteria. Why is this so?
  • 2. 2. Chlamydial organisms are obligate non-motile intracellular parasites associated with many sexually transmitted diseases. Why? 3. Why can this virus remain latent or subclinical for years before it is diagnosed? 4. What are the treatment options for this patient? Note where you found the evidence to support this treatment. 5. Why did the medical professionals ask him about his sexual partners? 6. If untreated, what complications could occur to his sexual partner? 7. What education is needed for this patient to prevent this from occurring again? .