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Case StudiesThese case studies are designed to be completed after you have studied the content in each module, but you can complete them any time you feel ready. Case studies allow you to apply what you have learned in this course to real-world situations. Case Study #1:Philippe is a 30-year-old
man who is married and has five children. He has come to the clinic with
urethral discharge and admits that he frequently has sex with women other
than his wife. His wife does not know that he has other partners, and
he would like it to remain that way. You provide syndromic treatment for
chlamydia and gonorrhea and then tell him how important it is for his
wife and other partners to get treated, too. He does not think that he
can do this. Case Study #2:Mary is a 24-year-old married,
monogamous woman who has a genital ulcer. She tells you that she is fairly
certain that her husband has other partners. When she is diagnosed with
syphilis, she tells you that she is afraid to tell her husband to get
treated because he will blame her for the infection and probably get violent.
He has beaten her before. Case Study #3:Clara is a 30-year-old married,
monogamous woman who comes to your clinic with vaginal discharge. She
has been using the pill as her method of contraception for the past two
years. She is very worried and concerned because she has never experienced
anything like this before. She and her husband have four children, and
she believes that he has no other sexual partners. Your clinic uses syndromic
management for RTIs because no lab facilities are readily available. Case Study #4:Jasmine, a 28-year-old married
woman, has recently been diagnosed with chlamydia. You provide her with
antibiotics (twice a day for seven days) and tell her to avoid sex during
treatment or to use condoms if she cannot avoid intercourse. Jasmine returns
to the clinic three weeks later with vaginal discharge again. Lab tests
show that it is chlamydia. When you ask her about her treatment last time,
she admits that she did not finish taking the antibiotics because she
“felt better” after three days and the discharge went away.
Her husband has been away since her first diagnosis and she has not had
sex.
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