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Identify the active issues for this patient based on physical examination

Learner Task: The physical exam demonstrates a normal breast exam, erythema of the vaginal epithelium with thick white curd-like discharge. Otherwise her pelvic examination was normal. A photograph of the wet prep is below. Describe the active issues for this patient.
 

Photo courtesy of Hope Haefner, MD, University of Michigan
 
Educator Checklist: Active Issues Found in Physical Examination
Mark the appropriate column to indicate whether the learner included each element in his or her response. When completed, tally the “Included” column to calculate the learner’s score.
 

Included =1 Not Included =0
Vaginal discharge
Obesity/history of GDM
Request for mammogram