Oropharyngeal Syndrome
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Oral sex can lead to oropharyngeal STIs (infections of mouth and throat)
Causes
- Human papilloma virus (HPV), Herpes, Neisseria gonorrhoeae, Chlamydia trachomatis
Evaluation
- Physical examination of the oral cavity
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First visit Patient complains of sore throat, pain on swallowing or dry throat -Take history, examine the throat in good light If positive history of oral sex -Treat for gonorrhoea, chlamydia Second visit No improvement -Provide prolonged chlamydia or gonorrhoea treatment. |
First visit Patient complains of sore throat, pain on swallowing or dry throat -Take history, examine the throat in good light No history of oral sex -Treat for other course of tonsillitis Amoxicillin oral 500 mg oral every 8 hours for 7 days AND -Mouth gargle
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First visit Patient complains of sore throat, pain on swallowing or dry throat -Take history, examine the throat in good light Oral thrush present -Treat for oral candidiasis Fluconazole 200 mg or 150 mg oral once daily for 7 days Miconazole/Nystatin oral gel 5 mL apply every 12 hours for 7 days |
Referral
- If no improvement refer to specialist