Patient Encounter 1 Part 3

Unprotected sex is a major risk factor for contracting STIs. Although the purulent discharge is consistent with gonorrhea infection, a positive urethral swab coupled with an incubation period consistent with gonorrhea confirms the diagnosis. A serologic test for syphilis should be performed on all pregnant women at the first prenatal visit and a RPR should be performed at the time pregnancy is confirmed and treatment provided. Although the patient has confirmed gonorrhea, infection with Chlamydia trachomatis occurs commonly in this setting. Additionally, pregnant patients should be tested for this infection during the first prenatal visit and treated appropriately. Further, the presence of a rash could possibly suggest that the patient may have contracted syphilis previously, potentially indicative of secondary syphilis.

If this patient had an allergy to penicillin, how would the therapeutic management of the identified problems change?

Treatment of Gonorrhea in Special Situations

Uncomplicated infections of the cervix, urethra, and rectum can be treated with one of the following regimens in adults:

Anxiety and Depression 101

Anxiety and Depression 101

Everything you ever wanted to know about. We have been discussing depression and anxiety and how different information that is out on the market only seems to target one particular cure for these two common conditions that seem to walk hand in hand.

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