sti s poppy and prateek. clinical presentations urethritis vaginal discharge ulcerative genital...
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STISPoppy and Prateek
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Clinical Presentations
Urethritis Vaginal discharge Ulcerative genital lesions Pelvic inflammatory disease Epididymo-orchitis Infestations Lumps & Bumps
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Urethritis
Chlamydia Discharge, dysuria, urethritis
Gonorrhoea Lots of discharge, dysuria
Both! Non-specific urethritis
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Vaginal Discharge
Gonorrhoea Yellow/green
Chlamydia Change, dysuria
Trichomonas Frothy, fishy, yellow/green
Candidiasis (thrush) Thick white, itching
Bacterial Vaginosis Thin white, fishy, itch rare
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Ulceration
Herpes simplex (HSV) 2 and 1 Painful
Syphilis Painless
Lymphogranuloma venereum (Chlamydia trachomatis)
Granuloma inguinale Non-STI
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Pelvic Inflammatory Disease
Infection upper genital tract, most commonly STI (can also be IUCD/peritonitis)
Symptoms pain, discharge, bleeding, dyspareunia
Signs tenderness, incl RUQ, cervical excitation,
endocervical pus Complications
chronic pelvic pain, tubal infertility, ectopic pregnancy
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Epidiymo-orchitis
Pain, swelling and inflammation of the epididymis, with or without inflammation of the testes.
Causes: UTI, STI: Gonorrhoea, Chlamydia, Viral: mumps, Rare:
TB, Brucella Diagnosis
Urine MCS Urine for STI screen Urethral swab Viral serology
Complications Scrotal abscess & Infertility
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Infestation
Scabies Burrows – check other areas!
Pubic lice Itching, black/blue spots on skin
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Lumps and Bumps
Genital warts Painless, single/clusters
Molluscum contagiosum ‘Pearly’ clusters
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QUESTIONS?