1. STIs
Poppy and Prateek

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

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

4. 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

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

6. 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

7. 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

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

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

10. Questions?