Allen is a 36-year-old nulligravida women who presents to her OB-GYN specialist for evaluation of vaginal lesions that have been present for five days. Patient states, “I have some very painful blisters near my vagina, and I think there may be some inside, too. I felt a strange stinging sensation for a couple days and then broke out. I’ve also had several horrific headaches and muscles aches in the past few days—almost like the flu.” She is single, sexually active with one partner currently. Admits to frequent unprotected vaginal sex. She denies IV drug use, is heterosexual and other than high blood pressure and cholesterol, she is aware of no active medical problems. She denies oral or anal intercourse.

1. What is your initial diagnosis of this patient based on reading her history?

Additional Questions related to the GU case study;

2. What subjective clinical data (clinical symptoms) are consistent with a primary genital herpes infection? List six distinct clinical symptoms.

3. What objective clinical data (clinical signs) are consistent with a primary genital herpes infection? List six distinct clinical signs.

4. Identify three major risk factors for genital herpes in this patient.