STIs Poppy and Prateek

Clinical Presentations Urethritis Vaginal discharge Ulcerative genital lesions Pelvic inflammatory disease Epididymo-orchitis Infestations Lumps & Bumps

Urethritis Chlamydia Gonorrhoea Both! Non-specific urethritis Discharge, dysuria, urethritis Gonorrhoea Lots of discharge, dysuria Both! Non-specific urethritis

Vaginal Discharge Gonorrhoea Chlamydia Trichomonas Yellow/green Chlamydia Change, dysuria Trichomonas Frothy, fishy, yellow/green Candidiasis (thrush) Thick white, itching Bacterial Vaginosis Thin white, fishy, itch rare

Ulceration Herpes simplex (HSV) 2 and 1 Syphilis Painful Painless Lymphogranuloma venereum (Chlamydia trachomatis) Granuloma inguinale Non-STI

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

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

Infestation Scabies Pubic lice Burrows – check other areas! Itching, black/blue spots on skin

Lumps and Bumps Genital warts Molluscum contagiosum Painless, single/clusters Molluscum contagiosum ‘Pearly’ clusters

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