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Urethritis

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Urethritis

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USMLE® Step 1 style questions USMLE

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A 26-year-old man presents to his primary care physician with penile discharge. He also reports experiencing pain with urination starting 3 days ago. Last weekend, he engaged in unprotected sexual intercourse with a new female partner. His vital signs are 37 °C (98.6.°F), pulse is 67/min, respirations are 14/min, blood pressure is 126/74 mmHg, and oxygen saturation is 99% on room air. Physical examination shows mucoid discharge at the urethral meatus. Which of the following laboratory findings is most likely to be observed in this patient?  

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Conjunctivitis p. 549

urethritis and p. 724

Urethritis

chlamydia p. 146, 180

Chlamydia trachomatis p. , 147

gonorrhea p. 180

reactive arthritis p. 475, 724

Summary

Urethritis is a condition characterized by inflammation of the urethra, which is the tube that carries urine from the bladder to the outside of the body. The most common cause of urethritis is infection by bacteria, but it can also be caused by viruses, fungi, or irritants. The infection is often a sexually transmitted infection (STI).

The most common presentation is painful or difficult urination, other symptoms include burning sensation during urination, frequent urination, hematuria, pyuria. Treatment for urethritis depends on the underlying cause, and may include antibiotics, avoiding irritants such as chemicals, soaps, or spermicidal agents. Drinking plenty of fluids and taking over-the-counter pain relievers such as ibuprofen or acetaminophen can help relieve discomfort.

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