Urethritis

Question 1

what is urethritis?

Answer 1

inflammation of the urethra

Question 2

what causes urethritis?

Answer 2

Chlamydia
Non specific urethritis
Gonorrhoea- Gram negative intracellular diplococci

Question 3

how does non gonococcal urethritis present?

Answer 3

-scant and milky/clear discharge
-may not have dysuria
-no systemic symptoms

lasts 7-12 days

Question 4

what tests are done for urethritis?

Answer 4

-Clinical exam
-Urethral swab for gram stain and microscopy
-Urethral swab for gonorrheoa culture and sensitivities
-First void urine, rectal and throat swabs for chalmydia and gonorrhoea NAAT
-Take blood for syphilis and HIV

Question 5

how is urethritis diagnosed using microscopy?

Answer 5

There must be symptoms of urethritis, gram stain of urethral smear and 5 or more polymorphs (PMNLd)/ high powered field

Question 6

what is seen on microscopy if it is gonococcal urethritis?

Answer 6

Gam negative intracellular diplococci

Question 7

what is seen on microscopy if it is non gonococcal/ specific urethritis?

Answer 7

No gram negative intracellular diplococci