A 32 year old male truck driver was seen in the emergency room with the chief complaint of urethral discharge and unilateral scrotal pain. The patient was well till three days prior to being seen when he noted the onset of a dull pain in his left scrotal area. The patient complains of pain on urination and had noted a purulent penile discharge one day prior to being seen. What are the important questions to ask in a social and previous medical history.
Physical examination reveals a well-developed, well nourished white male in no acute distress.
It was difficult to clearly discern the left testes. The patient was treated with proccine penicillin G, 4.8 million units i.m. with 1.0 g of probenacid and discharged from the emergency room and asked to return in 7 days for follow-up. CASE B A 24 year old female comes to the Emergency Room with the chief complaint of a rash. The patient was well until the day prior to arriving at the ER and had just arrived home after vacationing in Europe for the past eight weeks. Physical examination was normal except that the patient notices a faint rash that appears to come and go on her upper extremities.