OSCE Case 31
Student Name
Charles Drew University
NUR620 Advanced Physical Assessment
Professor Emilyn Lao and Professor Nancy Sablon-Diago
October 15, 2021
, 2
OSCE Case 31
Data Gathering/My Checklist
Chief Complaint: Urethral Discharge
History of Present Illness
I. What is the color of the discharge (Reteguiz, 2004)? “Yellowish-green.”
II. Is there any blood in the discharge (Reteguiz, 2004)? “No.”
III. Have you been having any burning with urination (Reteguiz, 2004)? “Yes. My
urine burns, especially at the start of the flow.”
IV. Have you had any changes in sexual function (Reteguiz, 2004)? “No.”
V. Have you had any fever or chills? “No.”
Past Medical History
VI. Do you have any history of sexually transmitted diseases (Reteguiz, 2004)? “No.”
VII. Do you have any allergies to antibiotics (Reteguiz, 2004)? “No.”
Family History
VIII. Is there any history of genital dysfunction or irregularity in your family? “No.”
IX. Is there any history of sexually transmitted disease in your family? “No.”
Social History
X. How many sexual partners have you had over the past year (Reteguiz, 2004)? “Seven.”
XI. Do you use safe sexual practices consistently (Reteguiz, 2004)? “I sometimes use a
condom, but I did not last week.”
Review of Systems