SEXUALLY TRANSMITTED DISEASES

Urethritis in Men Features: Discharge/drip Dysuria Organisms: Neiserria gonorrhoea Chlamydia Ureaplasma Mycoplasma genitalium Trichomonas Diagnosis: Urethral swab Vaginal Discharge Candida Itching White, scant, clumpy plaques of discharge pH <4.5 Mycelia on microscopy

Trichomonas Itching Yellow, profuse, purulent discharge pH>5 Motile trichomonas flagella on microscopy Metronidazole 2g stat PO, or 500mg PO BD 7 days Investigate partner

Bacterial Vaginosis Itching White, fishy-smelling discharge pH>4.5 Clue cells on microscopy KOH whiff test positive Metronidazole 500mg PO BD 7 days Investigate partner

Azole cream OD 7 days No need to manage partner