Urethritis: The Daily PANCE Blueprint

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Urethritis: The Daily PANCE Blueprint

A 22-year-old sexually active man presents with dysuria and a burning sensation with urination. He also reports itching and a small amount of discharge from the urethral opening. Urethritis is suspected. Which of the following organisms is one of the most common causes of this condition?

A. Escherichia coli
B. Neisseria gonorrhoeae
C. Staphylococcus aureus
D. Candida albicans
E. Staphylococcus saprophyticus

Answer and topic summary

The answer is B. Neisseria gonorrhoeae

In a young, sexually active male presenting with dysuria, urethral pruritus, and discharge, infectious urethritis is the most likely diagnosis. The two most common etiologic agents for urethritis in this demographic are Chlamydia trachomatis (non-gonococcal urethritis) and Neisseria gonorrhoeae (gonococcal urethritis).

While gonococcal urethritis classically presents with a more purulent discharge and chlamydia with a clearer, mucoid discharge, both must be suspected, tested for (typically via NAAT), and often treated empirically together.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Genitourinary System Content Blueprint ⇒Infectious Disorders  ⇒ Urethritis

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