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The clinician's guide to sexually transmitted disease

The contents of this book first appeared in a monthly journal for internists called Diseasea-Month and have now been transferred to paperback. The book is aimed at the American market and is intended as a practical desk reference for clinicians in the evaluation of patients with suspected sexually transmitted disease. The authors have divided the subject matter into sections according to the symptoms complex-for example, cervicitis and urethritis, genital ulcers and lymphadenopathy, and pelvic inflammatory disease. There are a number of anomalies, however, such as considering genital warts and Pthirus pubis infestation in the ulcers and lymphadenopathy section. There is also some overlap with, for example, the biology of Neisseria gonorrhoeae being considered twice-in the section on urethritis and cervicitis and in the section on proctitis. Nevertheless, this format might have worked if sufficient practical advice had been included in these sections. Unfortunately this was not the case. For example, in the diagnosis of gonococcal urethritis, the clinician is advised on how to obtain a specimen ofurethral exudate, but is not then told how the specimen should be sent to the laboratory in terms of either transport medium to be used or survival time for organisms. Regarding the diagnosis of 209