Problem
This is a case study assignment from my advanced pediatric course in my FNP program. Read the case study and answer all questions.
Tammy is a 16-year-old who has come into the clinic today requesting birth control. She became sexually active 2 months ago with her current boyfriend and she does not want to get pregnant. Her boyfriend does not like using condoms. Tammy mentions that she has been having a "smelly" vaginal discharge for the past 4 days.
i. What should be your approach to taking a sexual history from Tammy?
ii. What more should you know about Tammy's sexual and social history?
iii. What type of examination should you perform and what tests should you order?
iv. What is your working diagnosis and what are two differentials?
v. What education, counseling, birth control, and follow-up should you provide for Tammy?