Primary and Differential Diagnoses: Cervicitis

Primary and Differential Diagnoses: Cervicitis

Interview Questions

It is important to ask the patient the following questions:

Cut 15% OFF your first order
We’ll deliver a custom Diagnostics paper tailored to your requirements with a good discount
Use discount
322 specialists online
  1. Is your pain worse at the start or the end of urination?;
  2. How severe is your pain with urination?;
  3. When did your pain with urination start?;
  4. Do you have any blood in your urine?;
  5. What are the events surrounding the start of your pain with urination?;
  6. Do you have any genital sores or discharge?;
  7. When did your last period begin? Primary and Differential Diagnoses: Cervicitis


Clinical Findings

Clinical findings are an increase in the urinary frequency, vaginal discharge, cervical friability, heavier periods, spotting, pain during sexual intercourse, fever, and pain in the lower abdomen (Hethcote & Yorke, 2014). Additional findings might also include a sore throat and dysuria.

Diagnostic Studies

The three approaches to laboratory testing for diagnosing gonorrhea include microscopy, bacterial culture, and NAAT (Public Health Ontario, 2013). Microscopy provides high sensitivity and specificity, but only for men, and is not recommended for women. Bacterial culture should be viewed as a more suitable diagnostic study since it has a test specificity of more than 99 percent; it is the most accurate testing method among the suggested ones. Nucleic Acid Amplification Testing or NAAT is also a highly specific method of testing, although it is slightly less accurate than bacterial culture, and can sometimes lead to false positive results.

Genitourinary exam (external exam, vaginal exam, speculum exam (including vaginal pH), and bimanual exam), evaluation of vaginal mucosa for inflammation, examination of the cervix, and evaluation of pH of the vaginal discharge are also necessary to provide the right diagnosis.

Primary and Differential Diagnoses

The differential diagnoses include bacterial vaginosis, candida vaginitis, and herpes genital. The primary diagnosis is cervicitis.

Bacterial vaginosis has the symptoms similar to the ones described by the patient and observed by the clinician: vaginal discharge that might have a bad odor or be grayish or yellow (Srinivasan et al., 2012). However, bacterial vaginosis does not usually lead to painful urination and increased urinary frequency.

Candida vaginitis can have the following symptoms: burning, irritation, dyspareunia, as well as erythema or edema (De Bernardis, Arancia, Sandini, Graziani, & Norelli, 2015). However, thick and white vaginal discharge on the vaginal walls is also common for this condition, which was not observed in the patient.

On-Time Delivery!
Get your customized and 100% plagiarism-free paper done in as little as 3 hours
Let’s start
322 specialists online

Herpes genital is a sexually transmitted infection that has the following symptoms: blisters and ulcers in the genital area, itching, and burning. Body aches and fever can also be observed in some cases (Awasthi & Friedman, 2014)Primary and Differential Diagnoses: Cervicitis. Despite some similarity in symptoms, no ulcers in the genital area were noticed.

Cervicitis is the infection of the lower end of the uterus that can be caused by different factors, including sexually transmitted diseases, allergies, or bacterial imbalance. However, due to patient’s recent unprotected sex, specific symptoms such as vaginal discharge, dysuria and increased urinary frequency, gonococcal cervicitis is assumed to be the primary diagnosis.

Management Plan

Pharmacotherapy for this patient includes ceftriaxone 250 mg IM x 1 dose and azithromycin 1000 mg orally x 1 dose. Gonorrheal infection shows resistance to previous generations of antibiotics, whereas ceftriaxone is recommended as an effective treatment for it (Bolan & Wasserheit, 2012). Additionally, the clinician can prescribe azithromycin 1000 mg orally x 1 dose, which is used for the treatment of both ceftriaxone-resistant gonorrhea and presumed concurrent chlamydia infection. If ceftriaxone is proven to be ineffective for this patient, azithromycin is a suitable choice.

The patient will need to be educated about the treatment of recent sexual partners, receive additional information about the influence of barrier protection on the risk of having STDs, as well as a referral to HIV, HepB, syphilis screening, and HPV vaccination (Moore, 2013). HPV vaccination is specifically recommended because the patient is 25 years old, and the vaccination’s effectiveness still can be high, thus preventing the patient from the risk of developing HPV-associated cervical cancer (Fu, Bonhomme, Cooper, Joseph, & Zimet, 2014). Additional counseling about the abstinence from sexual intercourse until the end of the treatment is needed too.


Awasthi, S., & Friedman, H. M. (2014). Status of prophylactic and therapeutic genital herpes vaccines. Current Opinion in Virology6(1), 6-12.

Get a custom-written paper
For only $13.00 $11/page you can get a custom-written academic paper according to your instructions
Let us help you
322 specialists online

Bolan, G. A., & Wasserheit, J. N. (2012). The emerging threat of untreatable gonococcal infection. The New England Journal of Medicine366(6), 485-487.

De Bernardis, F., Arancia, S., Sandini, S., Graziani, S., & Norelli, S. (2015). Studies of immune responses in Candida vaginitis. Pathogens4(4), 697-707.

Fu, L. Y., Bonhomme, L. A., Cooper, S. C., Joseph, J. G., & Zimet, G. D. (2014). Educational interventions to increase HPV vaccination acceptance: A systematic review. Vaccine32(17), 1901-1920.

Hethcote, H. W., & Yorke, J. (2014). Gonorrhea transmission dynamics and control. New York, NY: Springer.

Moore, E. W. (2013). Human immunodeficiency virus and chlamydia/gonorrhea testing among heterosexual college students: Who is getting tested and why do some not? Journal of American College Health61(4), 196-202.

Public Health Ontario. (2013). Guidelines for testing and treatment of gonorrhea in Ontario. Web.

Srinivasan, S., Hoffman, N. G., Morgan, M. T., Matsen, F. A., Fiedler, T. L., Hall, R. W., & Fredricks, D. N. (2012). Bacterial communities in women with bacterial vaginosis: High resolution phylogenetic analyses reveal relationships of microbiota to clinical criteria. PloS One7(6), 202-230. Primary and Differential Diagnoses: Cervicitis

What Will You Get?

We provide professional writing services to help you score straight A’s by submitting custom written assignments that mirror your guidelines.

Premium Quality

Get result-oriented writing and never worry about grades anymore. We follow the highest quality standards to make sure that you get perfect assignments.

Experienced Writers

Our writers have experience in dealing with papers of every educational level. You can surely rely on the expertise of our qualified professionals.

On-Time Delivery

Your deadline is our threshold for success and we take it very seriously. We make sure you receive your papers before your predefined time.

24/7 Customer Support

Someone from our customer support team is always here to respond to your questions. So, hit us up if you have got any ambiguity or concern.

Complete Confidentiality

Sit back and relax while we help you out with writing your papers. We have an ultimate policy for keeping your personal and order-related details a secret.

Authentic Sources

We assure you that your document will be thoroughly checked for plagiarism and grammatical errors as we use highly authentic and licit sources.

Moneyback Guarantee

Still reluctant about placing an order? Our 100% Moneyback Guarantee backs you up on rare occasions where you aren’t satisfied with the writing.

Order Tracking

You don’t have to wait for an update for hours; you can track the progress of your order any time you want. We share the status after each step.


Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.


Trusted Partner of 9650+ Students for Writing

From brainstorming your paper's outline to perfecting its grammar, we perform every step carefully to make your paper worthy of A grade.

Preferred Writer

Hire your preferred writer anytime. Simply specify if you want your preferred expert to write your paper and we’ll make that happen.

Grammar Check Report

Get an elaborate and authentic grammar check report with your work to have the grammar goodness sealed in your document.

One Page Summary

You can purchase this feature if you want our writers to sum up your paper in the form of a concise and well-articulated summary.

Plagiarism Report

You don’t have to worry about plagiarism anymore. Get a plagiarism report to certify the uniqueness of your work.

Free Features $66FREE

  • Most Qualified Writer $10FREE
  • Plagiarism Scan Report $10FREE
  • Unlimited Revisions $08FREE
  • Paper Formatting $05FREE
  • Cover Page $05FREE
  • Referencing & Bibliography $10FREE
  • Dedicated User Area $08FREE
  • 24/7 Order Tracking $05FREE
  • Periodic Email Alerts $05FREE

Our Services

Join us for the best experience while seeking writing assistance in your college life. A good grade is all you need to boost up your academic excellence and we are all about it.

  • On-time Delivery
  • 24/7 Order Tracking
  • Access to Authentic Sources
Academic Writing

We create perfect papers according to the guidelines.

Professional Editing

We seamlessly edit out errors from your papers.

Thorough Proofreading

We thoroughly read your final draft to identify errors.


Delegate Your Challenging Writing Tasks to Experienced Professionals

Work with ultimate peace of mind because we ensure that your academic work is our responsibility and your grades are a top concern for us!

Check Out Our Sample Work

Dedication. Quality. Commitment. Punctuality


It May Not Be Much, but It’s Honest Work!

Here is what we have achieved so far. These numbers are evidence that we go the extra mile to make your college journey successful.


Happy Clients


Words Written This Week


Ongoing Orders


Customer Satisfaction Rate

Process as Fine as Brewed Coffee

We have the most intuitive and minimalistic process so that you can easily place an order. Just follow a few steps to unlock success.

See How We Helped 9000+ Students Achieve Success


We Analyze Your Problem and Offer Customized Writing

We understand your guidelines first before delivering any writing service. You can discuss your writing needs and we will have them evaluated by our dedicated team.

  • Clear elicitation of your requirements.
  • Customized writing as per your needs.

We Mirror Your Guidelines to Deliver Quality Services

We write your papers in a standardized way. We complete your work in such a way that it turns out to be a perfect description of your guidelines.

  • Proactive analysis of your writing.
  • Active communication to understand requirements.

We Handle Your Writing Tasks to Ensure Excellent Grades

We promise you excellent grades and academic excellence that you always longed for. Our writers stay in touch with you via email.

  • Thorough research and analysis for every order.
  • Deliverance of reliable writing service to improve your grades.
Place an Order Start Chat Now