Gonorrhea physical examination: Difference between revisions
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Note: Occurs in the acute phase of infection | Note: Occurs in the acute phase of infection | ||
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| style="padding: 5px 5px; background: #DCDCDC;" | ''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Skin''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Painless skin lesions (on the torso, limbs, palms, and soles) which varis based on clinical stages | * Painless skin lesions (on the torso, limbs, palms, and soles) which varis based on clinical stages | ||
** [[Maculopapular]], [[pustular]], [[necrotic]], or [[vesicular]] rash | ** [[Maculopapular]], [[pustular]], [[necrotic]], or [[vesicular]] rash | ||
**Hemorrhagic lesions | **[[Hemorrhagic lesions]] | ||
**Erythema nodosum | **[[Erythema nodosum]] | ||
**Urticaria | **[[Urticaria]] | ||
**Erythema | **[[Erythema multiform]] | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | ''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Eye''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* [[ | *'''[[Conjunctivitis]]''' | ||
* | ** Conjunctival injection | ||
* | ** Purulent eye discharge | ||
** Periorbital edema | |||
Note: purulent arthritis may be abrupt onset of monoarthritis or oligoarthritis without skin lesions and fever | Note: purulent arthritis may be abrupt onset of monoarthritis or oligoarthritis without skin lesions and fever | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | ''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Musculoskeletal''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Erythema along a tendon sheath | *'''[[Arthritis]]''' | ||
* Local tenderness along a tendon sheath | ** [[Polyarthralgia]] with joint tenderness | ||
* Painful active or passive range of motion | ** Decreased range of motion | ||
** [[Erythema]] | |||
Note: purulent arthritis may be abrupt onset of monoarthritis or oligoarthritis without skin lesions and fever | |||
*'''[[Tenosynovitis]]''' | |||
**Erythema along a tendon sheath | |||
**Local tenderness along a tendon sheath | |||
**Painful active or passive range of motion | |||
Note: most commonly occurs in hands and less commonly lower extremities | Note: most commonly occurs in hands and less commonly lower extremities | ||
*'''[[Muscle abscess]]''' | |||
**Localized tenderness | |||
**Localaized edema | |||
**Pain with motion | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | ''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Central Nervous System''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*'''[[Meningitis]]''' | |||
* Decreased mental status | * Decreased mental status | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | ''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Cardiac''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* New murmur | *'''[[Endocarditis]]''' | ||
* Tachycardia | **New murmur | ||
**Tachycardia | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Muscle abscess''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Muscle abscess''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
|} | |} | ||
===Male=== | ===Male=== | ||
Revision as of 18:41, 22 September 2016
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Gonorrhea Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Gonorrhea physical examination On the Web |
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American Roentgen Ray Society Images of Gonorrhea physical examination |
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Risk calculators and risk factors for Gonorrhea physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination
Physical examination of patients with gonococcal infection is usually remarkable for:
| Type of Gonorrheal Infection | Physical Examination |
|---|---|
| Male genitourinary[1] |
|
| Female genitourinary:[2][3][4][5][6][7] |
|
| Proctitis[8] |
|
| Pharyngitis[9][10] |
Physical examination of patients with disseminated gonococcal infection is usually remarkable for:
| Disseminated Gonorrheal Infection | Organ systems |
|---|---|
| General Appearance |
Note: Occurs in the acute phase of infection |
| Skin |
|
| Eye |
Note: purulent arthritis may be abrupt onset of monoarthritis or oligoarthritis without skin lesions and fever |
| Musculoskeletal |
Note: purulent arthritis may be abrupt onset of monoarthritis or oligoarthritis without skin lesions and fever
Note: most commonly occurs in hands and less commonly lower extremities
|
| Central Nervous System |
|
| Cardiac |
|
| Muscle abscess |
Male
- Purulent or mucopurulent discharge from urethera. The discharge can be demonstrated by milking the shaft of penis.
- Epididymal tenderness and edema usually unilateral
Female Pelvic examination
Inspection
- Purulent or mucopurulent discharge
- Vaginal bleeding
Palpation
- Cervical mucosa may become fragile and bleed even with some manipulation.
- Cervical motion tenderness during bimanual pelvic examination
Gallery
-
![A highly contagious infection, gonococcal ophthalmia is due the pathogenic bacteria Neisseria gonorrhoeae. From Public Health Image Library (PHIL). [11]](/images/8/86/Gonorrhea15.jpeg)
A highly contagious infection, gonococcal ophthalmia is due the pathogenic bacteria Neisseria gonorrhoeae. From Public Health Image Library (PHIL). [11]
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![This patient presented with gonococcal urethritis, which became systemically disseminated leading to gonococcal conjunctivitis of the right eye. From Public Health Image Library (PHIL). [11]](/images/8/8a/Gonorrhea11.jpeg)
This patient presented with gonococcal urethritis, which became systemically disseminated leading to gonococcal conjunctivitis of the right eye. From Public Health Image Library (PHIL). [11]
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![Photograph of a gonococcal infection involving the cervix of a patient who presented with a case of gonorrhea. From Public Health Image Library (PHIL). [11]](/images/e/eb/Gonorrhea07.jpeg)
Photograph of a gonococcal infection involving the cervix of a patient who presented with a case of gonorrhea. From Public Health Image Library (PHIL). [11]
![A highly contagious infection, gonococcal ophthalmia is due the pathogenic bacteria Neisseria gonorrhoeae. From Public Health Image Library (PHIL). [11]](/index.php/File:Gonorrhea15.jpeg)
![This patient presented with gonococcal urethritis, which became systemically disseminated leading to gonococcal conjunctivitis of the right eye. From Public Health Image Library (PHIL). [11]](/index.php/File:Gonorrhea11.jpeg)
![Photograph of a gonococcal infection involving the cervix of a patient who presented with a case of gonorrhea. From Public Health Image Library (PHIL). [11]](/index.php/File:Gonorrhea07.jpeg)
References
- ↑ Sherrard J, Barlow D (1996). "Gonorrhoea in men: clinical and diagnostic aspects". Genitourin Med. 72 (6): 422–6. PMC 1195730. PMID 9038638.
- ↑ Workowski KA, Bolan GA, Centers for Disease Control and Prevention (2015). "Sexually transmitted diseases treatment guidelines, 2015". MMWR Recomm Rep. 64 (RR-03): 1–137. PMID 26042815.
- ↑ Barlow D, Phillips I (1978). "Gonorrhoea in women. Diagnostic, clinical, and laboratory aspects". Lancet. 1 (8067): 761–4. PMID 76760.
- ↑ Huppert JS, Biro F, Lan D, Mortensen JE, Reed J, Slap GB (2007). "Urinary symptoms in adolescent females: STI or UTI?". J Adolesc Health. 40 (5): 418–24. doi:10.1016/j.jadohealth.2006.12.010. PMC 1976261. PMID 17448399.
- ↑ Eschenbach DA, Buchanan TM, Pollock HM, Forsyth PS, Alexander ER, Lin JS; et al. (1975). "Polymicrobial etiology of acute pelvic inflammatory disease". N Engl J Med. 293 (4): 166–71. doi:10.1056/NEJM197507242930403. PMID 806017.
- ↑ Risser WL, Risser JM, Benjamins LJ, Feldmann JM (2007). "Incidence of Fitz-Hugh-Curtis syndrome in adolescents who have pelvic inflammatory disease". J Pediatr Adolesc Gynecol. 20 (3): 179–80. doi:10.1016/j.jpag.2006.08.004. PMID 17561186.
- ↑ Rees E (1967). "Gonococcal bartholinitis". Br J Vener Dis. 43 (3): 150–6. PMC 1047872. PMID 4963696.
- ↑ Stansfield VA (1980). "Diagnosis and management of anorectal gonorrhoea in women". Br J Vener Dis. 56 (5): 319–21. PMC 1045815. PMID 7427703.
- ↑ Kraus SJ (1979). "Incidence and therapy of gonococcal pharyngitis". Sex Transm Dis. 6 (2 Suppl): 143–7. PMID 386537.
- ↑ Osborne NG, Grubin L (1979). "Colonization of the pharynx with Neisseria gonorrhoeae: experience in a clinic for sexually transmitted diseases". Sex Transm Dis. 6 (4): 253–6. PMID 119330.
- ↑ 11.0 11.1 11.2 "Public Health Image Library (PHIL)".