New PDF release: A Colour Atlas of Sexually Transmitted Diseases

By Anthony Wisdom

ISBN-10: 0723415056

ISBN-13: 9780723415053

ISBN-10: 0723415927

ISBN-13: 9780723415923

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Extra resources for A Colour Atlas of Sexually Transmitted Diseases

Example text

Painless swellings within the scrotum are usually found to be hydroceles but the symptom may rarely be associated with other conditions such as tuberculosis, neoplastic disease or late syphilis. In tropical areas enormous scrotal swellings may occur in lymphogranuloma venereum (see p. 132) or filariasis but presentation at genitourinary clinics is unlikely. Painful lesions may originate from the epididymis or testis; differentiation is impossible on history and may be difficult on examination. The commonest painful lesion is epididymitis, usually secondary to urethritis or other urinary tract infection; inflammatory hydrocele is a common associated finding.

Penile clamp. Disinfectant. Gloves for examiner. Strict sterile precautions must be observed; with rare exceptions, the examination is not carried out while acute urethritis is present. After cleansing and sterilization of the glans penis local anaesthetic is introduced and massaged down the urethra. The penile Technique. clamp is applied until the anaesthetic has taken effect. The lubricated cannula of the urethroscope (with obturator in place) is gently passed down the urethra as far as it will comfortably go.

Gland puncture This technique may be used to obtain material for dark-ground microscopical examination in cases when such material is unobtainable from the ulcerated lesion but enlarged regional lymph nodes are present. A similar technique is sometimes used to collect material from the edge of healing ulcers. Apparatus. Syringe and intramuscular needle. Thin glass slides and cover slips. Sterile saline. Skin disinfectant. Gloves for examiner. Technique. The skin is disinfected. A minute quantity of saline is aspirated into the needle.

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A Colour Atlas of Sexually Transmitted Diseases by Anthony Wisdom


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