STISPoppy and Prateek

Clinical Presentations

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

Urethritis

Chlamydia Discharge, dysuria, urethritis

Gonorrhoea Lots of discharge, dysuria

Both! Non-specific urethritis

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

Ulceration

Herpes simplex (HSV) 2 and 1 Painful

Syphilis 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 Burrows – check other areas!

Pubic lice Itching, black/blue spots on skin

Lumps and Bumps

Genital warts Painless, single/clusters

Molluscum contagiosum ‘Pearly’ clusters

QUESTIONS?