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Gonorrhea slides
- 1. Gonorrhea Curriculum 1 Gonococcal Urethritis: Purulent Discharge Clinical Manifestations Source: Seattle STD/HIV Prevention Training Center at the University of Washington: Connie Celum and Walter Stamm
- 2. Gonorrhea Curriculum 2 Swollen or Tender Testicles (Epididymitis) Clinical Manifestations Source: Seattle STD/HIV Prevention Training Center at the University of Washington
- 3. Gonorrhea Curriculum 3 Gonococcal Cervicitis Clinical Manifestations Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides
- 4. Gonorrhea Curriculum 4 Bartholin’s Abscess Clinical Manifestations Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides
- 5. Gonorrhea Curriculum 5 Gonococcal Ophthalmia Clinical Manifestations Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides
- 6. Gonorrhea Curriculum 6 Disseminated Gonorrhea— Skin Lesion Clinical Manifestations Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides
- 7. Gonorrhea Curriculum 7 Vulvovaginal Candidiasis Source: Health Canada, Sexual Health and STI Section, Clinical Slide Gallery Candidiasis Curriculum Clinical Manifestations
- 9. Gonorrhea Curriculum Papillomavirus: Genital Warts and Cervical Cancer
- 11. Gonorrhea Curriculum 11 Syphilis Courtesy of the Division of STD Prevention/CDC
- 12. Gonorrhea Curriculum 12 Cancroid Courtesy of the Division of STD Prevention/CDC
- 13. Gonorrhea Curriculum 13 Genital herpes ? Courtesy of the Cincinnati STD/ HIV Prevention Training Center
- 15. Gonorrhea Curriculum 15 Secondary syphilis Courtesy of Peter Katsufrakis, MD
- 16. Gonorrhea Curriculum 16 Genital wart Courtesy of the Public Health Image Library/CDC
- 17. Gonorrhea Curriculum 17 Extensive Herpes Simplex Ulcers Courtesy of HIV In Site, www.hivinsite.org
- 18. Gonorrhea Curriculum 18 HSV vesicles Courtesy of CDC/ Susan Lindsley
- 19. Gonorrhea Curriculum 19 HSV circumferential ulcer Courtesy of CDC/ Dr. M. F. Rein; Susan Lindsley
- 20. Gonorrhea Curriculum 20 Gonorrhea Courtesy of Peter Katsufrakis, MD
- 21. Gonorrhea Curriculum 21 Chlamydia Courtesy of Peter Katsufrakis, MD
- 22. Gonorrhea Curriculum 22 Condyloma accuminata Courtesy of Peter Katsufrakis, MD
- 23. Gonorrhea Curriculum 23 Condyloma accuminata Courtesy of Peter Katsufrakis, MD
- 24. Gonorrhea Curriculum 24 Chlamydial Cervicitis Courtesy of STD/HIV Prevention Training Center at the University of Washington/ Connie Celum and Walter Stamm
- 25. Gonorrhea Curriculum 25 Inguinal Bubo Courtesy of CDC/ Susan Lindsley
Editor's Notes
- Periurethal lesions on vestibule
- Syphilitic chancre, showing well-demarcated boundary and clean ulcer base (in contrast to chancroid, which typically has a more exudative appearance).
- This is also syphilis, but varies from classic appearance of a single ulcer. Up to 40% of cases of primary syphilis may have > 1 chancre.
- Genital Ulcer
- Genital ulcer disease caused by multiple pathogens
- Secondary syphilis. Erythematous maculopapular rash of secondary syphilis. Note presence on sole of foot; syphilis is one of only a few skin disorders to manifest on soles of feet or palms of hands.
- Condyloma lata of secondary syphilis. Grossly, it would be difficult to differentiate these from condylomata lata caused by HPV infection. Condyloma lata are teeming with spirochetes and very infectious.
- Extensive herpes simplex virus lesions on the scrotum and penile shaft as the presenting manifestation of HIV infection Persistence for > 1 month is an AIDS-defining condition. Chronic herpes simplex can be painful and debilitating involving not only the genital area but the mouth, lips, esophagus and skin. Treatment is available for suppression but can be very expensive and will need to be taken for a long time. These can last months and may be improved with ARV treatment. Herpetic lesions can also become secondarily infected leading to more morbidity in the HIV infected patient. Image source: Toby A. Maurer, MD, University of California San FranciscoTimothy G. Berger, MD, University of California San Francisco From HIV InSite Knowledge Base
- This was an outbreak of herpes genitalis manifested as blistering around the vaginal introitus due to the HSV-2 virus.
- Coalescence of herpes genitalis “micro-ulcers”.
- This slide shows both condyloma and skin tags. The condyloma (whitish, cauliflower-like surface) should be treated and should respond to treatments typically used. The skin tags will not respond to most wart treatments (except perhaps surgery, cautery & laser).
- Foreskin must be retracted during physical examination to perform a complete exam (in this patient, his presenting complaint had nothing to do with warts, and these were an incidental finding).
- Characteristic findings include edema of the zone of cervical ectopy and a propensity of the mucosa to bleed on minor trauma e.g., when specimens are collected with a swab.