Urethritis Flashcards
1
Q
Urethritis Classification
A
- Gonococcal urethritis
- Non-gonoccocal urethritis
- Persistent or recurrent urethritis
2
Q
Urethritis Non-Gonococcal Causes
A
- Chlamydia
- Mycoplasma genitalium
- UTI uncommon
3
Q
Urethritis Recurrent Causes
A
- Probably multifactorial but usually no identifiable cause
- M. genitalium, U. urealyticum, T. vaginalis have all been implicated
4
Q
Urethritis Epidemiology
A
- Most common condition in GUM clinics
- NGU most common
- Chlamydia most common in young people
5
Q
Urethritis Presentation
A
- May be asymptomatic
- Discharge with or without blood
- Urethral pruritus, dysuria, or discomfort
- Systemic symptoms e.g. conjunctivitis or arthritis
6
Q
Urethritis Investigations
A
- H/E, refer to GUM
- Urethral smear (if negative re-examine in 1 week)
- FPU for NAAT
- Pharyngeal and rectal swabs
- Screen for other STIs
- Urine dip
7
Q
Urethritis Differentials
A
- Physiological discharge
- Candidal balanitis
- Epididymo-orchitis
8
Q
Urethritis Management
A
- As for STDs
- Test of cure for gonorrhoea
