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 98/72, pulse 68, respiration 14, temperature 37.2° C 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

1.Robert is suspected to have any one of the follwing sexually transmitted diseases

1 Gonorrhea -. Neisseria gonorrhea

2. Syphilis. - Treponema pallidum

3.Genitsl herpes - Herpes simplex virus

4.AIDS. - HIV

5.Hepatitis. - HBV A,B,C,D,E

We are unable to say which pathogen is meant for purulent urethral discharge because it is a common sign of any above disease.

2. Hepatitis infection is supposed to be shown by female partner as Robert is infectious with this.

Lack of appetite, abdominal ache,pain from left side of below abdominal area,juandice, fatigue are conspicuous pathological changes will be expected from female parter.

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