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.
- What should be your approach to taking a sexual history from Tammy?
- What more should you know about Tammy’s sexual and social history?
- What type of examination should you perform and what tests should you
order? - What are your differentials?
- What education, counseling, birth control, and follow up should you provide
for Tammy?
Sample Solution