List the primary diagnosis and at least two differential diagnoses for this patient.

Dear writer i need a discussion reply to a fellow classmates post on a class assignment discussion. Below i will put the class instructions for the assignment the student is answering to for guidence for you to know what they are answering to and after the student response to the assignment you are to be answering to the students response. Class assignment: A 24-year-old patient complains of vaginal discharge and burning with urination for 2 weeks. The symptoms persist despite having taken a course of over-the-counter yeast medication and drinking cranberry juice to treat what she suspects is a bladder infection. She was contacted yesterday by her new boyfriend because he had been told by his doctor that he tested positive for chlamydia. She uses oral contraceptives and does not use condoms. Her urinalysis and wet prep of vaginal secretions in the office are normal. There is a moderate amount of gray discharge at the cervical os and in the vagina. Are there any diagnostic studies that should be ordered on this patient? Why? List the primary diagnosis and at least two differential diagnoses for this patient. Explain your reasoning for each. Discuss your management plan for this patient, including patient education, referrals, and follow-ups. Student Response to assignment you are to answer to:Chlamydia can sometimes be asymptomatic therefore causing the spread of this sexually transmitted disease to go unnoticed until symptoms appear. “Chlamydia trachomatis is an obligate intracellular bacterium whose only natural host is humans. Although presenting as asymptomatic in most women, genital tract chlamydial infections are a leading cause of pelvic inflammatory disease, tubal factor infertility, and ectopic pregnancy” (Witkin, Minis, Athanasiou, Leizer, & Linhares, 2017).In the case of the 24-year-old, she first had self-diagnosed herself with a bladder infection and tried to self-medicate using an over-the-counter yeast medication and drinking cranberry juice. To her surprise, her boyfriend informed her that he was positive for chlamydia. Chlamydial infection is the most frequently reported infectious disease in the United States. In 2006, over 1 million cases were reported to the CDC. Despite the high number of reported cases, most cases of chlamydial infection are unreported” (Beckmann, Ling, Herbert, Laube, Smith, Casanova, Chuang, Goepfert, Hueppchen, & Weiss, 2014, p. 267). Chlamydia is usually seen in patients 25-years-old and younger. It is important for patients in this age group who are sexually active to be screened yearly for STDs. If chlamydia is left untreated it can cause major consequences. Because chlamydia can be asymptomatic symptoms can include vaginal bleeding or unusual discharge. One of the symptoms that can suggest a diagnosis of chlamydia includes cervicitis. Cervicitis is described as mucopurulent discharge from the cervix which results in irregular cervical bleeding. Some differential diagnoses that can be made based on the patient’s complaint include gonorrhea or bacterial vaginosis. The reason for the differential diagnosis of gonorrhea is because of the patient’s complaint of pain upon urination. Dysuria is a common symptom associated with gonorrhea as well as a UTI. The other reason why I chose bacterial vaginosis as a diagnosis is because of vaginal discharge upon examination. It was soon ruled out because bacterial vaginosis is usually accompanied by a strong fishy smell.Some diagnostic tests used to diagnose chlamydia include a culture, direct immunofluorescence, enzyme immunoassay, nucleic acid hybridization tests, and nucleic acid amplification tests (NAATs) of endocervical swab specimens (Beckmann et al., 2017). Once the diagnosis is made, patients are treated with azithromycin or doxycycline. It is important to educate the patient to abstain from intercourse for 7 days after beginning the first dose of antibiotics or even until the treatment is complete. The patient’s partner must also be treated in order to reduce the risk of reinfection. Testing for women must be repeated 3 months after treatment.It is essential to explain to this patient the significance of using condoms to prevent sexually transmitted diseases. Although she is using birth control to prevent pregnancy, she must understand that it does not protect against STDs. The patient must also comprehend that is key to make sure both partners and any other sexual partners are all treated for chlamydia to reduce reinfection.ReferencesBeckmann R.B., C., Ling, F.W., Herbert, W.N., Laube, D.W., Smith, R.P., Casanova, R., Chuang, A., Goepfert, A.R., Hueppchen, N.A., & Weiss, P.M. (2014). Obstetrics and Gynecology (7th ed.). Philadelphia: Lippincott Williams & Wilkins.Witkin, S.S., Minis, E., Athanasiou, A., Leizer, J., & Linhares, I.M. (2017). Chlamydia trachomatis: the Persistent Pathogen. Clinical and Vaccine Immunology, 24(10). doi: 10.1128/CVI.00203-17