Chapter 8: The Male and Female Reproductive Systems | Richard Thomas's Chart Note

CHART NOTE

Patient Name: Thomas, Richard
ID Number: RT 69024
Examination Date: August 29, 20xx

SUBJECTIVE
Patient complains of scrotal and genital pain. There is also discomfort during urination often associated with a purulent discharge.

OBJECTIVE
Richard is a sexually active 17-year-old male who, by his own admission, does not routinely use a condom. Physical exam reveals small, palpable lump on lateral aspect of the left testis.

ASSESSMENT
Evaluate for gonorrhea.

PLAN
Culture test for gonorrhea.