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A Gay Man Requesting a Sexual Health Screen

  • Alexander McMillan
Chapter

Abstract

As in  Case 1,a specific history should be taken to elicit any symptoms that the individual may not have recognized as being those of a sexually transmissible infection (STI). In addition to the questions posed in that Case, he should be asked if he has symptoms suggestive of distal proctitis: anal discharge or streaking of the stool with “slime,” anorectal bleeding, perianal pain, constipation, or a feeling of incomplete defecation. He should also be asked if he has a sore throat. Gonococcal infection of the pharynx is usually symptomless, but a few men (and women) complain of sore throat. (Although there is a good correlation between pharyngeal symptoms and fellatio, this is not the case with respect to gonococcal infection).

Keywords

Anal Intercourse Chlamydial Infection Receptive Anal Intercourse Gonococcal Infection Sexually Transmissible Infection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag London 2009

Authors and Affiliations

  1. 1.Department of Genitourinary MedicineNHS Lothian, Edinburgh Royal InfirmaryEdinburghUK
  2. 2.University of EdinburghEdinburghUK

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