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45years old married male complaints of slight pus discharge from penis since 2 days, only in ea

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Final diagnose: UTI Treatment given: FAS 3 kit stat. patient improved.

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Victim of Sexually Transmitted Disease.. Gonorrhoea ? Residual Pyuria can cause the urine to look cloudy or as if it contains pus. The presence of pyuria often occurs in a urinary tract infection (UTI). In rare cases, it can be a sign of a complicated UTI or sepsis. Prostatitis. USG.../ Urine C&S / CBC/ VDRL tests are recommonded.

Pus discharge per urethra D/d gonococcal urtheritis 2 nongonococcal uretheritis 3 pyurea You have to deal in history in detail Send blood and urine for lab Adv c&s of urine Select antibiotics as per results Broadly considering Tab cefixime+ofloxacin 400mg 10d Or tab ceftum 500mg 1bd Alkalisers

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? Gonorrhoea Adv Urine routine and culture Oral antibiotic Tab. Cefixime 200 mg twice a day for 5 days Further treatment according to culture and sensitivity

Take h/o sexual contacts (STD) Urine examination and culture Pus culture, (?Gonococus, ) Rx-FAS kit 3 (fluconazole, azithral, secnidazole) single dose.

Azithromycin to be taken alone and rest 2 after few hours interval ?
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H/O contact, adv Urine C.&S. By the time tab Nitrofurentoin 100 mg bd with alkanalization of urine ,c/a report treated according ly.

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- STD, if have h/o exposure - Urine R/M examination - Course of Antibiotics after urine report

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Gonorrhoea Needs further investigation and evaluation to conclude and treatment plan.

Thanks Sir. Patients denies any exposure since last 6 months.
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Gonorrhoea please ask Pus C/S RE URINE URINE C/S blood SUGAR HIV VDRL

Valuable opinion. Patient denies any exposure since last 6 months.
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Mostly gonorrhea , get pus examination and vdrl, urine examination .

Patient denies any exposure since last 6 months.
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Same day but use it after meals... Azithro before meal

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