Case D: 33-year-old male investment broker living in Dallas with history of trav

Question

Case D: 33-year-old male investment broker living in Dallas with history of travel to Las Vegas 3 weeks ago. The patient complains of a purulent urethral discharge and dysuria for 3 days. He became sexually involved with a new female partner (Laura) 2 months ago. Robert states Laura is asymptomatic. Robert states he also had a one-time sexual encounter with a woman he met in Las Vegas 3 weeks ago (Monica). No condoms used. Vital signs: blood pressure 9872, pulse 68, respiration 14, temperature 37.2" ? o Cooperative, good historian Chest, heart, musculoskeletal, and abdominal exams within normal limits No flank pain on percussion, normal rectal exam, no sores or rashes The genital exam reveals a reddened urethral meatus with a purulent discharge, without lesions or lymphadenopathy

Explanation / Answer

Answer-

4)Appropriate antibiotic to treat this patient is

Combination of azithromycin(zithromax) or doxycycline plus ceftriaxone or cefixime.

5)best approach to prevent this infection is

Sexual abstinence is best form of prevention.

Use of condoms during sexual intercourse.

Good hygiene

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