A 55-year-old male has presented to the emergency department because he is alarmed at the genitourinary symptoms he has experienced over the last several days. He reveals that he has had a number of new sexual relationships during a tropical vacation that ended 5 days ago. Over the last several days, he has had increasing pain in his urethra and a creamy yellow discharge from his penis. For the last 2 days, the discharge has been occasionally blood tinged. What differential diagnosis would be the care team's first priority?
A) Chancroid
B) Syphilis
C) Chlamydia
D) Gonorrhea

Question

Quizplus · Accepted Answer

The rapid onset and bloody penile discharge that the client cites are characteristics of gonorrhea. Neither the onset nor the symptomatology matches syphilis or chancroid, and Chlamydia typically takes longer to manifest and does not normally include bloody discharge.

A 55-Year-Old Male Has Presented to the Emergency Department Because