NE
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A 22-year-old woman comes to the urgent care clinic requesting antibiotics for a urinary tract infection (UTI). She currently suffers dysuria and states that she has had similar symptoms once before. At that time she was diagnosed with a UTI and given a fluoroquinolone antibiotic that cured her symptoms. She denies any fever, chills, or lower back or suprapubic pain, but does state that it “burns” when she urinates; she also complains of mild vulvar pruritus. She is sexually active with one partner who has not complained of any genitourinary symptoms. Her past medical history and review of symptoms are unremarkable. Vital signs are: temperature 37.3 C (99.2 F), blood pressure 118/70 mm Hg, pulse 74/min, and respirations 20/min. Pelvic examination reveals mild vulvar erythema and a thin, white, vaginal discharge adherent to the vaginal walls. The cervix is normal and nontender, and the vagina, aside from the vaginal discharge, appears normal. A malodorous, “fishy” smell is noted, however. A sample of the discharge is taken for a quick wet prep, on which rare leukocytes and epithelial cells with adherent bacteria are seen. A urinalysis dipstick is used to test the pH of the discharge, which is 5.0. Urinalysis of a urine sample is leukocyte esterase-negative and nitrite-negative. You prescribe a 7-day course of metronidazole. Which of the following is an additional course of action that is appropriate for this patient?
A. Additional treatment with a fluoroquinolone
B. Advice to have all recent sexual partners tested
C. Fluconazole treatment
D. Metronidazole prescription for sexual partner
E. Warning to abstain from alcohol during treatment
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| Aashi
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E. Warning to abstain from alcohol during treatment
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| robin082006
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Disulfiram effect------->E. Warning to abstain from alcohol during treatment
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The Key to Succeed is Patience.
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| NE
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| huyniid
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Good Q, NE 
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