GUM Flashcards
History GUM
Examination GUM men
Examination GUM women
Investigations GUM
Important microbiology GUM
balanitis
inflammation of glans/head of penis
Epididymo-orchitis
inflammation of epididymis (tube at back of testicle) and testicle
Epididymitis
inflammation of epididymis (tube at back of testicle)
Orchitis
inflammation of the testicle
Papules
small lumps on the skin
Macules
flat marks on the skin
typical history thrush in men
erythematous rash of head of penis
itching
white/creamy discharge
dysuria
dysparenunia
difficult to pull foreskin back
typical history thrush in women
thick white discharge
no smell
vulval and vaginal itching
irritation or discomfort
typical history gonorrhoea in men
odourless purulent discharge - may be green/yellow
dysuria
testicular pain or swelling (epididymo-orchitis)
typical history gonorrhoea in women
odourless purulent discharge
may be green/yellow
dysuria
pelvic pain
typical history disseminated gonococcal infection
non-specific skin lesions (petechial or pustular)
septic arthritis
Polyarthralgia (joint aches and pains)
Tenosynovitis
Systemic symptoms such as fever and fatigue
typical history chlamydia men
urethral discharge or discomfort
dysuria
epididymo-orchitis
reactive arthritis
typical history chlamydia women
abnormal vaginal discharge
pelvic pain
abnormal vaginal bleeding
dysparenunia
dysuria
intermenstrual bleeding
typical history lymphogranuloma venereum
affects lymphoid tissue around chlamydia infection,
1st stage: painless ulcer on vaginal wall/penis or rectum
2nd stage: lymphadenitis
3rd stage: inflammation of the rectum (proctitis) and anus causing anal pain, change in bowel habit, tenesmus,
typical history trichomonas men
balanitis (inflammation of glans penis)
typical history trichomonas women
vaginal discharge (frothy green/yellow-green, fishy smelling)
itching
dysuria
dyspareunia
strawberry cervix
typical history mycoplasma genitalium
urethritis
typical history bacterial vaginosis
fishy smelling watery grey or white vaginal discharge
typical history PID
Pelvic or lower abdominal pain
Abnormal vaginal discharge
Abnormal bleeding (intermenstrual or postcoital)
Pain during sex (dyspareunia)
Fever
Dysuria