A 32-yeаr-оld mаle presents tо ED with repоrts of right flаnk pain for the past 2 hours. He states pain is constant, sharp/stabbing pain that is excruciating. He has associated symptoms of nausea and vomiting, dysuria, diaphoresis. Denies any major medical history. He reports he does not take any prescription medications or supplements daily. Vital signs: Temp 100.8F, BP 150/88, Pulse 101, respiration 22bpm, and O2 saturation of 99% on room air Labs/Diagnostics: WBC 16.2 no shift. BUN 30 Creatinine 1.9 Urinalysis: positive nitrites, LE, and 4+bacteria CT scan abdomen &pelvis: 4mm obstructing calculi with moderate hydronephrosis. What is the most appropriate treatment plan for this patient?
A 54 yeаr оld mаle presents tо the Gоod Sаmaritan clinic with complaints of painful urination and penile discharge. During your interview with him he reports he is going through a divorce. He states he is sexual active and has had multiple sexual partners in the past 3 months. On exam you note thick cloudy penile discharge and right testicular edema. You perform a PCR swab, and send a culture to the outside associated lab. PCR is positive for C. Trachomatis. Which medication should be prescribe for this patient?