Female Repro Clinical Pathologic Correlation Quiz

A 21-year-old female presents to the physician’s office for her annual physical. She states that she has only had her menstrual period 4 times in the past year. Physical examination shows acne, facial hair on the upper lip and chin, and hyperpigmentation of the axilla bilaterally. BMI is 31 kg/m³.

Hemoglobin                14.3 g/dL

Hematocrit                  39%

WBC                            5,600/mm³

Hemoglobin A_1c          8.2%

LH                                548 mIU/mL

FSH                              3 mIU/mL

Estrogen                      12 ng/mL

Testosterone               179 ng/dL

Glucose                       142 mg/dL

Which of the following is a complication of this patient’s most likely diagnosis?

A 23-year-old female presents to the clinic because she has an itchy vaginal discharge. She describes discomfort when urinating. She is sexually active with multiple partners and does not use protection.

External genitals are unremarkable. The pelvic exam reveals yellowish purulent discharge from the endocervical canal. Cervical motion tenderness is negative.

If nucleic acid amplification testing suggests a gram negative organism, the most likely infecting organism would be

A 27-year-old woman comes to her gynecologist because of a painful lump in her labia for the past week. She states that it is tender to touch and has been increasing in size. She cannot wear tight underwear or pants because of the pain. On examination there is a tender palpable mass in the left labia, seen in  the image. There is no bleeding nor are ulcerations present.

The most likely diagnosis is