A 27 yo Hispanic woman presents for a routine Pap smear. She has had Pap smears every 1-2 years and all have been normal, except last year's Pap which noted the presence of yeast.
|Medications||Over-the-counter vaginal yeast cream (3 times over the past year) for vaginal itch.|
|Past Medical History||G2P2. Gestational diabetes mellitus (GDM) during her second pregnancy, 4 years ago.|
|Family History||Her father, age 54, has Type 2 diabetes mellitus (DM). Her mother, age 52, has hypertension. Her 3 siblings are well.|
|Social History||She is Mexican-American and was born in the United States. She is married and in a monogamous relationship with her husband.|
|ROS||Fatigue, weight gain, and recurrent vaginal/vulvar itch. Otherwise negative.|
Other drugs: none
|Exam:||Height 5'4", weight 174 lb. (BMI 30), BP: 136/88. Heavyset, appears fatigued. No thyromegaly. Thick white discharge present in vagina, with minimal erythema. Remainder of exam is normal. Pap smear is taken. KOH prep shows yeast forms.|