Complaint of dysuria and yellow penile discharge

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Question 

A 17-year-old man presents with a complaint of dysuria and yellow penile discharge for 3 days. He was sexually active with a new female partner and did not use a condom. He has no significant medical history, occasionally drinks alcohol, and does not smoke. He is a well-developed, well-nourished male with a routine exam except for stains in his underwear and a thick yellow urethral discharge. Testes are descended bilaterally, and there are no masses or hernias. Urinalysis shows white blood cells but no red blood cells or bacteria. The urine is sent for nucleic acid amplification test (NAAT) assay, and the patient is treated with ceftriaxone and doxycycline. What is the next step?

A. Inform the patient that he must disclose his sexual contacts to the treating provider

B. Inform the patient that his parents will be notified

C. Explain to the patient that the local board of health will be notified of results positive for gonorrhea

D. Reassure the patient that his visit is entirely confidential.

Reference no: EM133831337

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