Week 7 Assignment 1: Discussion: iHuman Case Study-Gonorrhea **Discuss the questions that would be important to include when interviewing a patient with this issue. Why are you seeking help today? I have been having burning when I pee and vaginal discharge for a few days. I was worried that I had another bladder infection, but these symptoms are a little different. When did your pain with urination start? About three days ago What are the events surrounding the start of your pain with urination? Well, it came on pretty much with the discharge. It was hard to tell what’s what Does anything make your pain with urination better or worse? Soaking in a warm bath helps Do you have any other symptoms associated with painful urination? Well, yeah. The discharge I told you about. Have you had problems with painful urination like before? Yes, with my bladder infection last year. But I'm wondering if this is really the same thing. How often do you have pain with urination? Every time I pee. What is the appearance, smell, texture and quantity of the vaginal discharge?Oh boy...I hate having to answer these questions. Yellow, kind of mucousy, kind of creamy. Not too smelly. Is there vaginal discomfort or itching? No, nothing like a yeast infection. Are you sexually active? Yes, I am. How often are you having intercourse? Well, let's just say I like men and they like me. I've been with a few different guys over the last 6 months. I haven't done it with anyone since this started a few days ago. The last time was maybe a week ago? Are you having or have you had unprotected sex? Yeah, I guess so. Sometimes I forget about condoms if I've been drinking. I'm on the pill, so I guess I'm protected that way. Do you use precautions to prevent the transmission of sexual diseases? Nothing but the pill. Do you have more than one sexual partner? Yes Do you have new or multiple sexual partners with similar symptoms? Well, no one has told me he has any problem. Have you had any sexually transmitted disease?Not that I know of. Do you have sex with men, women, or both? I'm heterosexual. Are you taking any prescription medications? No, other than the pill. Are you taking any over the counter medications? Yeah, sometimes I take ibuprofen with my period. You know, like for cramps and headaches. Do you have any pelvic pain? No Do you have any blood in your urine? No Do you have any genital sores or discharge?No sores, but I do have some vaginal discharge. **Describe the clinical findings that may be present in a patient with this issue. Symptoms are often nonspecific and may include increased vaginal discharge, dysuria, urinary frequency, and intermenstrual or postcoital bleeding. If the infection has been long- standing, symptoms can include low abdominal or low back pain (Dowell & Kirkcaldy, 2013)