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Venereologi Exam
Venereologi Exam
of
REPRODUCTIVE SYSTEM
VENEREOLOGICAL EXAMINATION
What is the clinical skills program?
Ø The clinical skills program is designed to
develop and refine the clinical techniques
of medical students:
q Human interaction skills
q Physical examination behaviors
Ø “Correct diagnosis”
Ø Effective treatment
Ø Counseling on risk reduction
Ø Partner notification & treatment
Ø Testing for other STIs
Ø Clinical follow up
WHAT IS THE ESSENTIAL COMPONENTS IN
THE “DIAGNOSIS” of STI?
§ History taking
§ Genital/Venereological Examination
§ Laboratory Examination
HOW THE STI PATIENTS FEEL ABOUT
THEIR CONDITIONS?
Ø Emotionally disturbed
Ø Embarrassed
§ To show the genital
§ Done a multiple sexual behaviour
WHAT SHOULD WE DO ?
INFECTIONS BY A NUMBER OF
VIRUSES, BACTERIAS, FUNGI,
PROTOZOAS OR ARTHROPODS THAT ARE
TRANSMITTED PRIMARILY THROUGH
HETERO OR HOMOSEXUAL CONTACT
STI-ASSOCIATED PRESENTING PROBLEMS
Ø Urethral discharge
Ø Vaginal discharge
Ø Genital ulcer
Ø Scrotal swelling
Ø Inguinal swelling
Ø Lower abdominal pain
Ø Vegetations
URETHRAL DISCHARGE
URETHRAL DISCHARGE
GONOCOCCAL URETHRITIS NON-GONOCOCCAL
URETHRITIS
ETIOLOGY N. gonorrhoeae C. trachomatis
CLINICAL FEATURES
DYSURIA SEVERE MILD
1. PHYSIOLOGICAL
puberty, menstrual cycles, sexual arousal,
pregnancy
2. PATHOLOGICAL
§ noninfective :
chemical, foreign body, gynecological
§ infective : STI & non STI patogen
cervical infections, vaginal infections
THE SYMPTOMS & SIGNS OF
ABNORMAL VAGINAL DISCHARGE
ü EXCESSIVE
ü MALODOROUS
ü YELLOW OR PURULENT
ü INFLAMMATION
VAGINAL DISCHARGE : cervical infection
ULCERS :
- Initial lesions Macules, papules, Papules Vesicles
pustules
Pediculosis pubis
INSPECT LABIA MAJORA & MINORA
Any lesions ?
Erosions, ulcers
or papules ?
Cervicitis gonorrhoea
Petechiae “Strawberry cervix” à
Trichomoniasis
Erythema, erosions à Genital Herpes
N. gonorrhoeae
Normally : NO painful
Buttocks à separated