<aside> 💡 Cheat sheet

1. dysuria+/-Pain+/-discharge+/-IMB/PCB (but all can be asymptomatic)
2. look at discharge
   • chlamydia and myco look the same (clear)
   • gonorrhoea and trich look the same (green)
3. Epidemiology best differentiator
   • Chlamydia most common
   • trich more in ATSI and females
   • mycoplasma uncommon
4. Diagnose with PCR from swab, first catch urine also possible
5. Max 2 organism per swab
   • for chlamydia and gono
     • endocervical swab best if doing speculum exam
     • if not doing spec exam, do self collected low vaginal swab </aside>

Syndromes

• Urethritis: urethral discharge, dysuria → manage as CT or NG
  • DDx – UTI, herpes, adenoviruses
• Cervicitis: vaginal discharge, dysuria, Inter-menstrual bleeding/post coital bleeding
  • discharge DDx – physiological, vulvovaginitis (Candida), bacterial vaginosis, foreign body, herpes
• Proctatitis: anal discharge and pain
  • DDx – LGV, haemorrhoids, fissure, HSV, syphilis

Causative organisms

Chlamydia trachomatis

• Neisseria gonorrhoeae
• trichomonas vaginalis
• mycoplasma genitalium

Liverpool interactions for hiv or hep C interactions with usual meds