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DYSURIA/STI

This patient presents with dysuria//discharge and a history consistent with possible STI. Differential includes simple cystitis, pyelonephritis, epididymitis. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO azithromycin.



Pearls:

– cannot treat PID with PO azithro; needs the full 7 day course of doxy

– still should do endocervical/vaginal swab for GC/chlamydia over urine, although urine isn’t terrible



from natedotphrase.com

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