Sexually Transmissible Infections in Clinical Practice: A problem-based approach

Description

Sexually Transmissible Infections in Clinical Practice is a problem-based handbook for dealing with commonly-encountered scenarios at the Sexual Health Clinic or the Family Physician’s office. Including 35 cases, it covers a rich variety of complaints, and equips the reader with the confidence to deal with cases in STIs. The presentation of each case is followed by questions designed to prompt the reader towards a refined differential diagnosis. Explanatory text instructs the reader on the relevant history to attain from the patient, the interpretation of laboratory results and the treatment of the complaint. Augmented by tables and illustrations, this book is suitable both for teaching and for quick reference in the clinic. For those who require more in-depth information on the epidemiology, pathogenesis and details of the micro-organisms involved in the infections, references to textbooks and review articles are provided. This book will prove very useful for students of medicine and dermatovenereology. It will also provide a helpful refresher for family physicians and practice nurses who wish to become more involved in sexual health, and for family planning doctors and nurses who are being increasingly called upon to manage STIs. Alexander McMillan, MD, MRCP, FRCP, has 27 years’ experience as Consultant Physician in Genitourinary Medicine at the Lothian University Hospitals NHS Trust. An experienced teacher as well as practitioner, he is a Senior Lecturer in Genitourinary Medicine at the University of Edinburgh. Front Matter....Pages i-xviii Front Matter....Pages 1-1 A Man Requesting a Sexual Health Screen....Pages 3-11 A Woman Requesting a Sexual Health Screen....Pages 13-19 A Female Sex Industry Worker Requesting a Sexual Health Screen....Pages 21-25 A Gay Man Requesting a Sexual Health Screen....Pages 27-33 A Man with Urethral Discharge (1)....Pages 35-41 A Female Contact of a Man with Presumed Non-gonococcal Urethritis....Pages 43-48 Urethral Discharge (2)....Pages 49-57 A Female Contact of a Man with Gonorrhoea....Pages 59-63 A Woman wih Increased Vaginal Discharge (1)....Pages 65-70 Vaginal Discharge (2)....Pages 71-76 Pruritus Vulvae....Pages 77-80 A Man with a Red, Itchy Penis....Pages 81-84 A Man with Scrotal Pain....Pages 85-90 A Young Woman with Abdominal Pain (1)....Pages 91-95 A Young Woman with Genital Lumps....Pages 97-105 A Young Woman with Genital Ulceration....Pages 107-114 A Woman with Recurrent Genital Herpes....Pages 115-120 A Gay Man with a Genital Ulcer....Pages 121-127 An African Man with a Skin Rash....Pages 129-134 A Gay Man with Anal Discharge....Pages 135-138 Front Matter....Pages 1-1 A Gay Man with a Rash, Lymphadenopathy, and Fever....Pages 139-144 Front Matter....Pages 145-145 A Young Man with Persistent Urethral Symptoms....Pages 147-150 A Man with Severe Dysuria....Pages 151-153 A Young Man with a Painful Swollen Knee Joint....Pages 155-165 A Woman with Recurrent Pruritus Vulvae....Pages 167-171 A Woman with Pruritus Vulvae (2)....Pages 173-175 A Young Woman with Abdominal Pain....Pages 177-179 Gonococcal and Chlamydial Infections in a Pregnant Woman....Pages 181-186 A Pregnant Woman with Genital Herpes....Pages 187-189 A Pregnant Woman with Genital Warts....Pages 191-194 A Gay Man with Diarrhea....Pages 195-201 A Gay Man with Jaundice....Pages 203-209 A Pregnant Woman Who is a Contact of a Man with Infectious Syphilis....Pages 211-214 An HIV-Infected Man with Anal Pain, Anal Discharge, and Bleeding....Pages 215-223 A Young Girl with Anogenital Lumps....Pages 225-229 Back Matter....Pages 231-241