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A 21-year old male student came to the college health service center at this state university with complaints of urethral discharge, frequent urination, blood in the urine, and a stinging sensation during urination. The man, who admitted to several sexual partners, stated his systems had become obvious in the past week. A physician examination confirmed the presence of a urethral discharge and swollen glands in the groin region. A urinalysis and urine culture were ordered. The patient noted that his symptoms were similar to a previous episode when he was told he had an acute gonococcal infection. An oral antibiotic was prescribed, and the patient was advised to stop all sexual activity until the treatment was completed and inform his sexual partners of his diagnosis so that they could be tested and treated as necessary. The patient was given can appointment to return in 14 days. The college health service physician wrote acute gonococcal urethritis and acute gonococcal cystitis on the outpatient encounter form.
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