He is also complaining of shortness in breath, stuff nose and persistence of cough. On the other hand, T.M. denied smoking cigarettes, taking prohibited drugs and drinking alcoholic beverages. He has no allergic reactions to any food, any drug or medication, or any environmental factors. As a patient, he had not complained of pains or of any past hospitalizations. But he is sexually active and had undergone AIDS test. His two other brothers also tested negative of the AIDS test last year. He has had vaccination for milestones completed. He had no previous medications taken or OTC drugs. His parents are positive for hypertension.
This seventeen (17) years old African American male was a mesomorph. His physique could be characterized to be predominantly muscular. He was alert being very much aware of his surroundings when he was oriented three times. He had low grade fever at 990F. This was way below the margin of 100.40F or 380C. He was positive for adenopathy for some swelling on the perineal area because of the yellow perineal discharge present. However, he does not have inflamed eyes. He had also no visible wounds, not even rectal rashes. His lungs were clear. This means his respiration was normal. His heart rate was normal at P: 58; RR: 18; T: 99.1 and BP is 139/91. Finally, his nose drainage was clear, but, his voice was hoarse (+).
Subsequently, the following plan was designed and suggested for an assessment of the patient after consulting with school clinic: 1) Gonorrhea/ Chlamydia Test - for Urethral Infection - a Non-culture detection of N. gonorrhea - b. Culture positive for N. gonorrhea, with or without confirmation tests; 2.) Test for Rectal/Pharyngeal Infection; 3.) Test for HIV from the patient's blood collected sample; 4.) DNA probe test must be done to rule out Chlamydia; 5.) Immunodiagnostic test must be done for the antigen-antibody reaction (Engelkirk and Burton, 2007); 6.) For medication, the patient must take: Rocephin 125mg 1M x 1 dose and Zithromax 1G post diagnosis x 1 dose with food to lessen occurrence of gastro-intestinal or GI symptoms. This must be followed by retesting in one or two weeks; 7.) If proven positive, the patient must be educated with the infection and its significance. Further, the patient must be advised about direction on how to take medications and potential side effects (WMMR, 2007); 8.) Make a recommendation that anyone who has had sexual contacts with the patient within the past 60 days, whether they have symptoms or not afterwards, should consult a physician; 9.) Instruct patient to abstain from sexual intercourse until after he had completed the treatment; and 8.) Since the patient was treated with Azithromycin tablets, he should return after one or two weeks for retesting. In case, retesting shows a positive result, the patient should consult the physician.
T. M. could have gotten the etiologic agent of the disease from either of his sexual partners. This could be the reason why he