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).
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© 2009 Springer-Verlag London
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McMillan, A. (2009). A Gay Man Requesting a Sexual Health Screen. In: Sexually Transmissible Infections in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-84882-557-4_4
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DOI: https://doi.org/10.1007/978-1-84882-557-4_4
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