Common Genital Symptom Syndromes Flashcards
genital symptoms
- lumps and swellings
- discharge from an orifice
- pain
- rashes
- cuts, sores, ulcers
- itching
- change in appearance
cause of genital symptoms
- STD
- microbial problem
- non-microbial problem
what microbial conditions of the genitals are not regarded as STDs?
- vulvovaginal candidosis
- bacterial vaginosis
- balanoposthitis – anaerobic/candidal
- tinea cruris
- erythrasma
- infected sebaceous glands
- impetigo
- cellulitis
vulvovaginal candidosis
- 90% Candida albicans (can be C. glabrata et al)
- usually acquired from bowel
- asymptomatic, if symptomatic: thrush, itch, discharge
- risk factors: diabetes, oral steroids, immune suppression, pregnancy, reproductive age group
- diagnosis: gram stained preparation, culture
- treatment: antifungal azoles (clotrimazole, fluconazole)
bacterial vaginosis
abnormal vaginal discharge: watery grey/ yellow ‘fishy’ discharge
sore/itch from dampness, worse after period / sex
diagnosis: pH, gram stained smear
treatment: antibiotics (metronidazole, clindamycin), probiotics,
describe balanitis
- inflammation of the glans penis
- blotchy red appearance/ discolouration of the glans penis
describe zoon’s balanitis
chronic inflammation secondary to overgrowth of commensal organisms plus ‘foreskin malfunction’.
describe posthitis
Inflammation of the foreskin
what are usually the causative organisms of impetigo?
- staph aureus
- strep pyogenes
what is usually the causative agent of erysipelas?
strep pyogenes
what is tinea cruris?
dermatophytes infection known as athlete’s groin
what is usually the causative agent of erythrasma?
Corynebacterium minutissimum
what non-microbial symptoms of the genitals may people present with?
- perceived problems: discharge, dysuria, rashes, skin lumps
- dermatoses
- structural abnormality (congenital and acquired)
what are Fox-Fordyce spots?
appearance of normal sebaceous glands through stretched skin
