MDM //

After extensive discussion with patient regarding PEP versus observation/follow up and risks and benefits of both, mutual decision making to provide first dose of PEP and follow up promptly with outpatient testing and further treatment as needed at this time per most recent CDC HIV PEP guidelines for unknown relatively high risk exposures_. Discussed that single dose of PEP is not a substitute for follow up and further care/evaluation. Discussed need for concurrent testing of other STI including, but not limited to, G/C and RPR. Discussed safe sex practices_. Cautious return precautions discussed w/ full understanding. Prompt follow up with primary care physician discussed.



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