A 30-year-old female presents to the emergency room with a chief complaint of yellow, creamy vaginal discharge and difficulty with urination.  She states these symptoms started about 3 days ago, and she thought she had a urinary tract infection. She denies pelvic pain.  The patient had unprotected sexual intercourse in the last two weeks with her new partner. She denies any lower back pain or foul-smelling urine or frequency.

PMH: Negative.

Vital signs: Vital signs T 98.8 F, Pulse 80, Respiration 22, O2 sat 99% on room air.

Cardio-respiratory: Unremarkable for murmurs, rubs, clicks, or gallops.

Abdominal: Negative for any pain or tenderness to deep palpation. 

Pelvic exam: Mucopurulent vaginal discharge and erythema to cervix with some bleeding noted to the cervix when touched with the swab.  No masses on bimanual exam.

The Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

· The factors that affect fertility (STDs).

· Why inflammatory markers rise in STD/PID.

3 references

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