This patient presents with ***dysuria//discharge and a history consistent with possible STI. Differential includes simple cystitis, pyelonephritis, ***epididymitis. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO azithromycin.
Pearls:
– cannot treat PID with PO azithro; needs the full 7 day course of doxy
– still should do endocervical/vaginal swab for GC/chlamydia over urine, although urine isn’t terrible