What condition is indicated by urethral pain and a creamy yellow, bloody discharge from the penis?

Study for the NCLEX STD Exam. Prepare with flashcards and multiple choice questions that include hints and detailed explanations to help you succeed. Get ready for your exam!

The presence of urethral pain accompanied by a creamy yellow, bloody discharge from the penis is highly indicative of gonorrhea. Gonorrhea is a sexually transmitted infection caused by the Neisseria gonorrhoeae bacteria, which often results in noticeable symptoms such as a purulent discharge and discomfort in the urethra.

The characteristics of the discharge – creamy yellow and possibly bloody – align with the typical presentation of gonococcal urethritis. It’s important to recognize that gonorrhea commonly affects sexually active individuals and can occur alongside other STIs. Early diagnosis and treatment are crucial to prevent complications and transmission to partners.

In contrast, candidiasis would typically present with other symptoms and a different type of discharge, usually characterized by a thick, white appearance. Chancroid, caused by Haemophilus ducreyi, presents with painful ulcers rather than discharge. Trichomoniasis, while it can cause discharge, usually results in a frothy, yellow-green discharge and is associated with different symptoms such as itching or irritation.

Thus, the specific symptoms of urethral pain combined with the distinctive creamy yellow, bloody discharge firmly point towards gonorrhea as the correct answer.

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