Questions and Topics We Can Help You To Answer:
Paper Instructions: 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.
“I have pain during intercourse and urination”
A 19-year-old female reports to you that she has “sores” on and in her vagina for the last three months.
She tries to practice safe sex but has a steady boyfriend and figures she doesn’t need to be so careful since she is on the birth control pill

states “I have sores and bumps on the inner creases of my thighs and pelvic area”. “There is yellowish discharge from the sores that comes and goes”
Objective Data
temperature: 100.2°F; pulse 92; respirations 18; BP 122/78; weight 156 lbs, 25 lbs overweight; height 5′3″
patient appears to have good hygiene; minimal makeup, pierced ears, no tattoos; well nourished (slightly overweight); no obvious distress noted
Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.
within normal limits, appropriate lung sounds auscultated, clear and equal bilaterally
S1S2 without rub or gallop
• INSPECTION: no dimpling or abnormalities noted upon inspection
• PALPATION: Left breast no abnormalities noted. Right breast: denies tenderness, pain, no abnormalities noted.
Inguinal Lymph nodes: tenderness bilaterally, numerous, 1 cm in size
tender during palpation; the left lower quadrant was very tender during palpation; patient denies nausea or vomiting
labia major and minor: numerous ulcerations, too many to count; some ulcerations enter the vaginal introitus; no ulcerations in the vagina mucosa; cervix is clear, some greenish discharge; bimanual exam reveals tenderness in left lower quadrant; able to palpate the left ovary; unable to palpate the right ovary; no tenderness; uterus is normal in size, slight tenderness with cervical mobility

Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.
No obvious deficits and CN grossly intact II-XII

Submission Instructions:

Your instructor will assign you your case number and you will post on the case number you have been assigned.
You will reply to the other two case studies (One of each).
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
All replies must be constructive and use literature where possible