Patientcareandtraininginthemanagementofsexuallytransmitted infectionshasinrecentyearsseentremendouschanges.Awider rangeofpathogenshasbeenidenti?ed,testsstreamlinedwiththe introduction of newer technologies, evidence-based behavioural interventionsintroduced,andnewtherapeuticagentsandvaccines developed.Atthesametimetherehasbeenapushtowidenaccess to sexual health services and the development of protocol-based managementwherepatientsareoftenledthroughstandardizedh- tories and management guided by ?ow charts all performed by membersofamixedskilledandvariouslyexpertmultidisciplinary team.Observingthisprocessasanoutsidereitherasastudentor postgraduate trainee can be quite bewildering and much of the subtletyguidingmanagementbuiltintotheprocessescanbelost unless one is working with expert clinicians who understand the theoryandscienceunderlyingthesestrategiesandareabletoc- veythistothetrainee. Book Title, Sexually Transmissible Diseases in Clinical Pr- tice, provides a valuable resource to trainees in Sexual Health Medicine.
It mimics the consultation process and although not an authoritative textbook on the subject provides the theoretical underpinningformanagementexplainedinanaccessiblewayvery much akin to sitting in on expert consultations in both common and some rarer conditions. It will also help trainees to prepare for Case Based Assessments (CBD) such as those required for trainingprogressiontowardsCCTinGenitourinaryMedicineand guidepreparationfortheclinicalOSCEcomponentoftheDiploma ExaminationinGenitourinaryMedicine. RajPatel 2009 v Preface Thisbookisaimedatseveralgroupsofhealth-careprofessionals whoareinvolvedinthecareofindividualswithoratriskofse- allytransmissibleinfections. With the relentless increase in the prevalence of the sexually transmissible infections in industrialized countries, and greater patients'expectations,mostspecialistclinicsareunderconsid- ablepressuretoprovidea?rst-classservice.Onemeansofimpr- ing the performance of such clinics, particularly in the United Kingdom, has been to extend the role of the nurse practitioner. Thishasprovedamostsatisfactorysolutioninmanyclinics.Itis hopedthatthisbookwillproveusefulintheearlytrainingofthe nursepractitionerthroughthepresentationofaseriesofcommon clinicalscenarios.
Problem-based learning has become the preferred teaching method in most universities, and it is hoped that undergraduate studentswill?ndthematerialpresentedheretobemorethana- quatetocomplementtheirclinicaltraininginthemanagementof sexuallytransmittedinfections.
SECTION - A.- A Man Requesting a Sexual Health Screen.- A Woman Requesting a Sexual Health Screen.- A Female Sex Industry Worker Requesting a Sexual Health Screen.- A Gay Man Requesting a Sexual Health Screen.- A Man with Urethral Discharge (1).- A Female Contact of a Man with Presumed Non-gonococcal Urethritis.- Urethral Discharge (2).- A Female Contact of a Man with Gonorrhoea.- A Woman wih Increased Vaginal Discharge (1).- Vaginal Discharge (2).- Pruritus Vulvae.- A Man with a Red, Itchy Penis.- A Man with Scrotal Pain.- A Young Woman with Abdominal Pain (1).- A Young Woman with Genital Lumps.- A Young Woman with Genital Ulceration.- A Woman with Recurrent Genital Herpes.- A Gay Man with a Genital Ulcer.- An African Man with a Skin Rash.- A Gay Man with Anal Discharge.- A Gay Man with a Rash, Lymphadenopathy, and Fever.- SECTION - B.- A Young Man with Persistent Urethral Symptoms.- A Man with Severe Dysuria.- A Young Man with a Painful Swollen Knee Joint.- A Woman with Recurrent Pruritus Vulvae.- A Woman with Pruritus Vulvae (2).- A Young Woman with Abdominal Pain.- Gonococcal and Chlamydial Infections in a Pregnant Woman.- A Pregnant Woman with Genital Herpes.- A Pregnant Woman with Genital Warts.- A Gay Man with Diarrhea.- A Gay Man with Jaundice.- A Pregnant Woman Who is a Contact of a Man with Infectious Syphilis.- An HIV-Infected Man with Anal Pain, Anal Discharge, and Bleeding.- A Young Girl with Anogenital Lumps.
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