Dysuria, Urinary Retention, and Inguinal Pain as Manifestation of ...
Common genital infection · •Leucorrhoea & abnormal discharge •Dysuria •Abnormal vaginal...
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Common genital infection Assoc.Prof.Pawin Puapornpong. Faculty of Medicine Srinakharinwirot University
Transcript of Common genital infection · •Leucorrhoea & abnormal discharge •Dysuria •Abnormal vaginal...
Common
genital
infection
Assoc.Prof.Pawin Puapornpong.
Faculty of Medicine
Srinakharinwirot University
Problem
• Genital lesion
• Leucorrhoea & abnormal discharge
• Dysuria
• Abnormal vaginal bleeding
• Pelvic pain
How do you diagnose?
• History
• Physical examination
• Laboratory investigation
Differential diagnosis
Basic requirement
• Knowledge of diseases
• Sign & symptom taking skills
• Data/evidence-based analysis & synthesis
• Knowledge of treatments/alternatives
+ communication skills
& health prevention/promotion minds
Knowledge of diseases
• Genital lesion
– Condyloma acuminata
– Herpes simplex
– Chancre /soft chancre
Knowledge of diseases
• Abnormal vaginal discharge
– Candidiasis
– Trichomoniasis
– Bacterial vaginosis
– Gonorrhea
– Chlamydial infection
– Pelvic inflammatory infection
Sign & symptom taking skills
• Detailed abnormal history & systemic
review
• Detailed abnormal part/organ physical
examination & general physical
examination
Data/evidence-based analysis
& synthesis
Analysis
Synthesis
Diagnosis
Investigation
Rethink
Knowledge of
treatments/alternatives
• Medical treatment
– Symptomatic treatment
– Specific treatment
– Supportive treatment
• Alternative treatment
Condyloma acuminata
• เกิดจากการติดเชื้อ Human papillomavirus (HPV)
• พบแล้วกว่า 200 ชนิด
• ร้อยละ 90 ของโรคหูดหงอนไก่เกิดจาก HPV ชนิด 6 และ 11
• HPV ที่มีความเสี่ยงสูงต่อการเกิดมะเร็งปากมดลูกคือชนิด 16 และ 18
Condyloma acuminata
Herpes simplex
Herpes simplex
Bacterial vaginosis
Chlamydial infection
Gonorrhea
Candidiasis
Molluscum contagiosum
หิด(scabies)
Syphilis
ขอบคุณครับ
