Sexually Transmissible Infections in Clinical Practice: A problem-based approach

Sexually Transmissible Infections in Clinical Practice: A problem-based approach


Sexually Transmissible Infections in Clinical Practice is a problem-based handbook for dealing with commonly-
encountered scenarios at the Sexual Health Clinic or the Family Physician’s office. Including 35 cases, it covers a
rich variety of complaints, and equips the reader with the confidence to deal with cases in STIs.

The presentation of each case is followed by questions designed to prompt the reader towards a refined differential
diagnosis. Explanatory text instructs the reader on the relevant history to attain from the patient, the interpretation
of laboratory results and the treatment of the complaint. Augmented by tables and illustrations, this book is suitable
both for teaching and for quick reference in the clinic. For those who require more in-depth information on the
epidemiology, pathogenesis and details of the micro-organisms involved in the infections, references to textbooks and
review articles are provided.


This book will prove very useful for students of medicine and dermatovenereology. It will also provide a helpful
refresher for family physicians and practice nurses who wish to become more involved in sexual health, and for family
planning doctors and nurses who are being increasingly called upon to manage STIs.


Alexander McMillan, MD, MRCP, FRCP, has 27 years’ experience as Consultant Physician in Genitourinary Medicine at the
Lothian University Hospitals NHS Trust. An experienced teacher as well as practitioner, he is a Senior Lecturer in
Genitourinary Medicine at the University of Edinburgh.







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.- A man with urethral discharge (2).- A female
contact of a man with gonorrhoea.- A woman with increased vaginal discharge (1).- A woman with increased vaginal
discharge (2).- A woman with pruritus vulvae (1).- A man with an itchy red penis.- A man with scrotal pain.- A woman
with abdominal pain (1).- A woman with genital lumps.- A 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 fever, a skin rash, and lymphadenopathy.- SECTION B.- A young man with persistent urethral symptoms.- A man with
severe dysuria.- A man with a painful swollen knee joint.- A woman with recurrent pruritus vulvae.- A woman with
pruritus vulvae (2).- A woman with abdominal pain (2).- Gonococcal and chlamydial infections in a pregnant woman.- A
pregnant woman with genital herpes.- A pregnant woman with genital warts.- A gay man with diarrhoea.- 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 and
bleeding.- A young girl with anogenital lumps.- Further Reading.