Common genital infection · •Leucorrhoea & abnormal discharge •Dysuria •Abnormal vaginal...

Common

genital

infection

Assoc.Prof.Pawin Puapornpong.

Faculty of Medicine

Srinakharinwirot University

Problem

• Genital lesion

• Leucorrhoea & abnormal discharge

• Dysuria

• Abnormal vaginal bleeding

• Pelvic pain

How do you diagnose?

• History

• Physical examination

• Laboratory investigation

Differential diagnosis

Basic requirement

• Knowledge of diseases

• Sign & symptom taking skills

• Data/evidence-based analysis & synthesis

• Knowledge of treatments/alternatives

+ communication skills

& health prevention/promotion minds

Knowledge of diseases

• Genital lesion

– Condyloma acuminata

– Herpes simplex

– Chancre /soft chancre

Knowledge of diseases

• Abnormal vaginal discharge

– Candidiasis

– Trichomoniasis

– Bacterial vaginosis

– Gonorrhea

– Chlamydial infection

– Pelvic inflammatory infection

Sign & symptom taking skills

• Detailed abnormal history & systemic

review

• Detailed abnormal part/organ physical

examination & general physical

examination

Data/evidence-based analysis

& synthesis

Analysis

Synthesis

Diagnosis

Investigation

Rethink

Knowledge of

treatments/alternatives

• Medical treatment

– Symptomatic treatment

– Specific treatment

– Supportive treatment

• Alternative treatment

Condyloma acuminata

• เกิดจากการติดเชื้อ Human papillomavirus (HPV)

• พบแล้วกว่า 200 ชนิด

• ร้อยละ 90 ของโรคหูดหงอนไก่เกิดจาก HPV ชนิด 6 และ 11

• HPV ที่มีความเสี่ยงสูงต่อการเกิดมะเร็งปากมดลูกคือชนิด 16 และ 18

Condyloma acuminata

Herpes simplex

Herpes simplex

Bacterial vaginosis

Chlamydial infection

Gonorrhea

Candidiasis

Molluscum contagiosum

หิด(scabies)

Syphilis

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