STI Clinic Visit Male_finalV1

CC:
HPI:[text size="3"] yo MALE presents to the clinic for [select name="reason" value="TESTING|TESTING AND TREATMENT|TREATMENT"] of 
[select name="ty" value="CHLAMYDIA|GONORRHEA|SYPHILIS|CHLAMYDIA AND GONORRHEA|CHLAMYDIA,GONORRHEA, and SYPHILIS"]. Pt labs [textarea name="labdate" default="date"]  positive for 
[textarea name="swab" default="UROGENITAL RECTAL PHARYGEAL CHLAMYDIA GONORRHEA SYPHILIS. RPR NON REACTIVE.REACTIVE. REACTIVE at _:_. Previous RPR _:_."]. Patient is 
[select name="SYMPT" value="ASYMPTOMATIC|SYMPTOMATIC"]. Patient symptom history:
[checklist name=""Symptoms" value="Clear, milky or mucoid urethral discharge|Pain on urination|Increased frequency and/or urgency|Sore throat and/or hoarseness|Scrotal pain, swelling, or redness|Rectal discharge|Pain during defecation|Rash or lesion"]
Symptoms started [text size="3"] [select value="day(s)|week(s)|hour(s)|month(s)|year(s)"] ago.[text size="80"].
Related activities or events that occured at or right before symptoms started: [text size="80"].

Was partner treated [select name="variable_4" value="NA|No|Yes"]
Partner Name:
[textarea name="variable_4" default="sample text"]

Antibiotics in last 4 weeks?[select name="Antibioticsinlast4weeks" value="No|Yes"]

Pt is calm, cooperative, and agreeable to treatment today.

Avoid alcohol and sexual activity for 7-10 days after treatment. Patient was encouraged to notify partner(s). Safer sex practices discussed and encouraged.  Condoms offered. Patient was given an opportunity to ask questions and all questions were answered. Patient verbalized understanding of all information presented.