Gonorrhea physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical examination

Physical examination of patients with gonococcal infection is usually remarkable for:[1][2][3][4][5][6][7]

Type of Disseminated gonorrheal infection Symptoms
Female genitourinary
Male genitourinary
  • Mucopurulent urethral discharge
  • Bull-headed clap (penile edema)
  • Unilateral epididymal tenderness and edema (epididymitis)
  • Sign of urethral stricture
  • Periurethral abscesses
Proctitis
Pharyngitis

Male

  • Purulent or mucopurulent discharge from urethera. The discharge can be demonstrated by milking the shaft of penis.
  • Epididymal tenderness and edema usually unilateral

Female Pelvic examination

Inspection

  • Purulent or mucopurulent discharge
  • Vaginal bleeding

Palpation

  • Cervical mucosa may become fragile and bleed even with some manipulation.
  • Cervical motion tenderness during bimanual pelvic examination

Gallery

References

  1. Workowski KA, Bolan GA, Centers for Disease Control and Prevention (2015). "Sexually transmitted diseases treatment guidelines, 2015". MMWR Recomm Rep. 64 (RR-03): 1–137. PMID 26042815.
  2. Barlow D, Phillips I (1978). "Gonorrhoea in women. Diagnostic, clinical, and laboratory aspects". Lancet. 1 (8067): 761–4. PMID 76760.
  3. Huppert JS, Biro F, Lan D, Mortensen JE, Reed J, Slap GB (2007). "Urinary symptoms in adolescent females: STI or UTI?". J Adolesc Health. 40 (5): 418–24. doi:10.1016/j.jadohealth.2006.12.010. PMC 1976261. PMID 17448399.
  4. Eschenbach DA, Buchanan TM, Pollock HM, Forsyth PS, Alexander ER, Lin JS; et al. (1975). "Polymicrobial etiology of acute pelvic inflammatory disease". N Engl J Med. 293 (4): 166–71. doi:10.1056/NEJM197507242930403. PMID 806017.
  5. Risser WL, Risser JM, Benjamins LJ, Feldmann JM (2007). "Incidence of Fitz-Hugh-Curtis syndrome in adolescents who have pelvic inflammatory disease". J Pediatr Adolesc Gynecol. 20 (3): 179–80. doi:10.1016/j.jpag.2006.08.004. PMID 17561186.
  6. Rees E (1967). "Gonococcal bartholinitis". Br J Vener Dis. 43 (3): 150–6. PMC 1047872. PMID 4963696.
  7. Sherrard J, Barlow D (1996). "Gonorrhoea in men: clinical and diagnostic aspects". Genitourin Med. 72 (6): 422–6. PMC 1195730. PMID 9038638.
  8. 8.0 8.1 8.2 "Public Health Image Library (PHIL)".

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