TY - CHAP M1 - Book, Section TI - Gonococcal and Chlamydia Urethritis A1 - Chumley, Heidi S. A1 - Usatine, Richard P. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 24-year-old man presents to a primary care clinic with 3 days of dysuria and heavy purulent penile discharge (Figure 224-1). He was diagnosed with gonococcal urethritis by clinical appearance, and a urine specimen was sent for testing to confirm the gonorrhea and test for Chlamydia. He was treated with ceftriaxone 250 mg IM for gonorrhea and 1 g of oral azithromycin. He was tested for other sexually transmitted infections. He was advised to inform his partners of the diagnosis and was counseled about safer sex. On his 1-week follow-up visit, his symptoms were gone and he had no further discharge. Nucleic acid amplification tests were positive for gonorrhea and Chlamydia. Rapid plasma reagin (RPR) and HIV tests were negative. His case was reported to the Health Department for contact tracing. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164349494 ER -