53.1 A 30-year-old mother of 2 children attends the gynaecology OPD of the District
Hospital with the complaint of whitish watery foul smelling vaginal discharge for the past
2 months. She also suffers lower backache and feels deep pelvic pain during intercourse,
which she has irregularly, because her husband works in the city and visits her off and on.
She feels weak, but there is no fever. Her periods are regular, but somewhat painful. Last
menstruation was 10 days back. Vaginal examination reveals mucopurulent discharge from the
cervical canal and pelvic tenderness, but there is no pelvic mass or abscess. She expresses
inability to get any investigations done, as she is poor and has to return to her village.
A provisional diagnosis of chlamydial nonspecific endocervicitis is made, with possibility of
gonococcal infection, concurrently or alone.
(a) What is the most appropriate drug treatment for her?
(b) Should her husband be also examined and treated?
(see Appendix-1 for solution)
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(B) yes her husband should be examined
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