Question

A 45-year-old male presents with sudden onset of pain with urination and purulent penile discharge. He admits to having unprotected intercourse approximately one week ago.

• Develop assessment questions you would ask this patient to learn more about his problem.
• Explain the most likely physiology causing the patient’s presenting symptoms.
• Describe the structures of the renal/urologic system most likely impacted by the patient’s symptoms.
• Describe key considerations regarding educating the patient and his significant others regarding the patient’s symptoms.
• Use at least 2 scholarly sources to support your initial response.

Answer 1

45 year old male patient have complaint of sudden onset of pain and penile purulent discharge. He have history of unprotected sex one week ago.

Assessment questions to ask this problem are -

1) Frequency of coitus.

2) No. of sex partners.

3.) Frequency of urination.

4) Nature of pain during urination.

5) When did patient notice the symptoms?

6) Patient have ever been treated for a bladder or kidney disorder or infection in past ?

7) How severe is the discomfort?

8) Have had a fever ?

9) Have other symptoms like back ache?

10) Symptoms relived by urinating?

11) Have you ever used catheter?

12) Have you being treated for any other medical condition?

13) You used any contraception? If yes, what kind?

14) Discharge related questions like colour of discharge and amount of discharge, etc ?

** Most likely physiology causing the patient's presenting symptoms -

Urinary tract infection or Sexually transmitted disease or infections are common cause of penile discharge accompanied by pain during urination and a need to urinate frequently.

- Chlamydia, Gonorrhoea, Herpes, Urethritis, Mycoplasma genitalium infection, etc are common causes of penile discharge.

** The structure mostly impacted by patient's symptoms are -

UTI is urinary tract infection and urinary tract includes kidneys, ureter, bladder and urethra.

Urinary tract infections (UTIs) happen when bacteria get into the urethra and travel up into the bladder.

If the infection stays just in the bladder, it is a called a bladder infection, or "cystitis." If the infection travels up past the bladder and into the kidneys, it is called a kidney infection, or "pyelonephritis." Bladder and kidney infections are both types of UTI.

Bladder infections are one of the most common infections, causing symptoms like a burning feeling with urination and the need to urinate frequently. Kidney infections are less common than bladder infections, and can cause similar symptoms, but they can also cause fever, back pain, and nausea or vomiting.

Both bladder and kidney infections are more common in women than men. Most cases of bladder infection in women are uncomplicated and easily treated with a short course of antibiotics. In men, bladder infections may also affect the prostate gland, and a longer course of antibiotics may be needed. Kidney infections can also usually be treated at home with antibiotics, but treatment typically lasts longer. In some cases, kidney infections must be treated in the hospital.

** Key consideration regarding educating the patient and his significant others regarding patient's symptoms -

Patient should be educated about the infection, the causes of infection and treatment. Patient should take care of his health and should avoid coitus because it may transmit to other partner.