Urethral Discharge
Age: years old
Gender: male
HISTORY:
Presents with a - history of urethral discharge
Described as and
Associated symptoms: *Try using right-click for negatives*
, , ,
, up to °, over
, episodes , ,
Sexually active:
Condom use:
Number of partners in the last year:
STI risk factors:
Last STI screening:
No history of: , , , ,
No use of: ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Abdomen: , , , , bowel sounds , ,
Anorectal: DRE , prostate , , , anus
Pelvic: external genitalia , vagina , cervix , uterus , adnexa ,
Genital: penis , testes and epididymis ,
ASSESSMENT:
DDx: sexually transmitted infections, gonorrhea, chlamydia, trichomoniasis, herpes simplex virus, non-specific urethritis, urinary tract infection, prostatitis, epididymitis, urethral stricture, foreign body in the urethra, allergic reaction to products or medications, balanitis, meatal stenosis, cancer of the urethra, benign prostatic hyperplasia, urinary retention, kidney stones, bladder stones, trauma to the urethra, chemical urethritis from irritants, catheter-related urethritis, prostate cancer, pelvic inflammatory disease, endometritis, cervicitis, vaginal atrophy
PLAN:
Investigations:
- STI screening for chlamydia and gonorrhea
- Urinalysis
- Urine culture
- Blood work: , , ,
Treatments:
-
- Sexual partners treatment
- Abstinence until treatment completed and symptoms resolved
- Condom use
- Proper hygiene
Further care:
- Referral to urologist
- Follow-up in
- Return if symptoms do not improve or if develops fever or abdominal pain
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: