Problem:
A 42-year-old homosexual male is concerned about an STD. He went to a party 2 days ago with the intent of having sexual relations with multiple partners. He does not know any of the names of his partners and did not use condoms. He was both a donor and receiver during this party. Yesterday, he noticed green-tinged discharge from the tip of his penis. Identify two likely diagnoses for this presentation. What would your work-up and education be for this patient? What additional concerns might you have based on what he has told you?