L.M., a 23-year-old female who is sexually active but not pregnant, makes an appointment with the NP for an in-office visit because

    May 5, 2024

 
L.M., a 23-year-old female who is sexually active but not pregnant, makes an appointment with the NP for an in-office visit because she is experiencing discomfort while urinating, abnormal vaginal discharge, and unpleasant sexual relations. She states that there appear to be irregularities in her menstrual cycle, including bouts of bleeding in between. L.M. discloses to the NP that she has had four sexual partners and that she neglected to use protection more than once. The NP conducts a physical examination that includes a vaginal swab and laboratory testing for nucleic acid amplification tests (NAATs). Within thirty minutes, L.M.’s vaginal swab findings showed a positive result for chlamydia. According to L.M.’s H

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