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[Solved]: In Wichita, Kansas, a 20-year-old college student…

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In Wichita, Kansas, a 20-year-old college student named Lillian visited the college health practitioner for a routine gynecological exam. Lillian’s periods had been regular, but she recently noted some spotting between periods. Her last menstrual period was four weeks prior. The practitioner asked Lillian whether she was sexually active. Lillian reported two male partners within the past six months. She reported no vaginal discharge, dyspareunia (painful intercourse), genital lesions, or sores. Her breast, thyroid, and abdominal exam were within normal limits, as were her vital signs—blood pressure: 118/68, pulse: 74, respiration: 18, temperature: 37.1°C (98.6°F).

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