Post Date May, 15 2023
How to diagnose gonorrhea
As a doctor, the key to diagnosing gonorrhea is based on medical records, such as unclean sexual history, frequent urination, urgency, difficulty holding urine, painful urination, and purulent discharge. Laboratory tests are generally not too difficult to diagnose. However, because patients sometimes conceal their medical records, or because they are out of treatment or mistreated, the disease is atypical, which often must be distinguished from urinary system infection, non nongonococcal urethritis and prostatitis. It is important to make a definite diagnosis based on a comprehensive analysis of touch history, clinical symptoms, and laboratory examinations.
(1) Clinical symptoms: The clinical symptoms of gonorrhea include frequent urination, urgency, inability to hold urine, painful urination, pus discharge from the urethral opening, or purulent discharge from the uterine or vaginal opening. Or there may be major manifestations such as gonococcal keratitis, colitis, pharyngitis, or disseminated gonorrhea.
(2) Touch history: The patient has a history of extramarital sexual activity or prostitution, a history of sexual intercourse with immediate family members, a history of sexual intercourse with gonorrhea patients (especially those at home), and a history of gonorrhea among newborn mothers.
(3) Laboratory examination: The acid fast staining test for subacute gonococcal urethral infection in men has basic diagnostic practical significance, and is only a reference for women. Molding should be carried out to confirm gonococcal infection. Regions with standards can use genetic testing techniques for diagnosis.
Urinary system infection is generally a subacute urinary system infection caused by Escherichia coli, which is mostly seen in children and women. Frequent urination, urgency, incontinence, and pain may occur, but there is no purulent secretion. The patient has a clean history of sexual intercourse, and a urine routine examination shows a red and white blood cell count. The gonococcal test is negative. Gonorrhea, on the other hand, has a typical history of unclean sexual intercourse. In addition to bladder irritating sexually transmitted diseases such as frequent urination, urgency, difficulty holding urine, and painful urination, it is also a common symptom of male urethral discharge. The thick liquid is yellow and thick, and the thick liquid is taken to mold gonococcal bacteria into a positive type.
Warm hearted advice:
The symptoms of non gonococcal urethritis are similar to gonorrhea. The key difference between them depends on the presence of yellow and thick secretions at the urethral opening in men with gonorrhea, rather than only clear and sparse secretions at the urethral opening in men with non gonococcal urethritis. The gonococcal test for gonorrhea is positive, not negative for non gonococcal urethritis.
