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Rheumatic Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
There may be mild systemic symptoms, malaise and fever at first in both sexes and an associated intermittent mucopurulent penile discharge in men. It may be difficult to diagnose in women at this stage, but urethral ulcers may be present.
Penile discharge and dysuria
Published in Manu Shah, Ariyaratne de Silva, The Male Genitalia, 2018
Manu Shah, Ariyaratne de Silva
KEY POINTS› Most cases of penile discharge are due to sexually transmitted infection.› Gonorrhoea and non-gonococcal urethritis remain a huge problem in both the developed and developing world.› Partner notification is essential in all cases of sexually transmitted disease.
Station 5
Published in Bruno Rushforth, Adam Firth, Val Wass, Get Through, 2012
Bruno Rushforth, Adam Firth, Val Wass
Although you will have covered some of the issues around his erectile dysfunction in the general history, it is important not to shy away from taking a specific sexual history for anyone who presents with genital symptoms. In this case, failure to take a detailed sexual history would result in missing a key fact that the patient has managed to have intercourse last night with his colleague, without any erectile dysfunction: Signpost the fact that you need to ask some further personal questions about his sexual activity, to help reach a diagnosis. Explain that you ask the same questions of everyone who has these sorts of problems.When was the last time he had sex?Who was it with? Was it with his wife or with another partner? Was the partner male or female (if this is not immediately obvious from his previous response)?Did he use a condom?When did he have sex prior to that episode? If this was with a different partner, ask the same set of questions as above.Has he had any STIs in the past?Any penile discharge?
An evaluation of male learners’ knowledge, attitudes and practices regarding sexual and reproductive health in rural northern KwaZulu-Natal province
Published in South African Family Practice, 2019
Mampho Mochaoa Rogers, Gloria Mfeka-Nkabinde, Andrew Ross
While the majority of participants knew that condoms help prevent HIV and other STIs, 99 (36%) thought that condoms have dangerous side effects. Most (86%; 240) knew that condoms were readily available and could be bought in a supermarket without a prescription. Regarding the management of a penile discharge, 81.4% thought that it would resolve spontaneously and only 18.6% knew that medical treatment was necessary.