Gonorrhoea

Question 1

Gonorrhoea Presentation

Answer 1

-Symptomatic in men, symptomatic in half of women
Men
-Urethral infection: discharge, dysuria, asymptomatic
-Rectal infection: usually asymptomatic, may cause discharge or bleeding
Pharyngeal infection
-Usually asymptomatic
Women
-Endocervical: frequently asymptomatic, increased/altered vaginal discharge,
-Urethral infection

Question 2

Gonorrhoea Differentials

Answer 2

• Other causes of vaginal discharge e.g. chlamydia
• Other causes of pelvic pain e.g. endometriosis, appendicitis
• Other causes of pharyngitis

Question 3

Gonorrhoea Ix

Answer 3

• Nucleic acid amplification tests (NAAT)

- Culture

Question 4

Gonorrhoea Management

Answer 4

• Refer to GUM clinic
• Avoid intercourse until both they and partner have completed treatment
• Routine screening
• Ceftriaxone 500mg IM, azithromycin 1g orally
• Test of cure

Question 5

Gonorrhoea Complications

Answer 5

-Gonococcal urethritis
-Spread
Women
-PID, peri-hepatitis
-Bartholins abscess