Phys Clinical Cases · infectious
Sexually Transmitted Infections — DCE Clinical Case
DCE long-case and short-case station for Sexually Transmitted Infections.
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Sexually Transmitted Infections — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Sexually Transmitted Infections. [1]
Presenting complaint: Subacute or acute symptoms referable to Sexually Transmitted Infections, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Sexually Transmitted Infections, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Relyea Ashley HM, Stuart SK, Eaton EF Attention-deficit/hyperactivity disorder, autism spectrum disorder, and HIV: implications for risk, outcomes, and care for neurodivergent people Top Antivir Med, 2026.PMID 42467809
- [2]Iriarte E, Erlandson KM Interventions and opportunities to enhance aging among people with HIV: a focus on frailty, sarcopenia, and intrinsic capacity Top Antivir Med, 2026.PMID 42467808
- [3]Scarsi KK, Marzolini C, Marra F, Tseng AL Selected highlights from the 26th International Workshop on Clinical Pharmacology of HIV, Hepatitis, and Other Antiviral Drugs Top Antivir Med, 2026.PMID 42467807
- [4]David M, Balint N, Fryszer L, Germerott T, et al. Recommendations for the Care and Support of Women Affected by Sexual Violence. Guideline of the DGGG (S1-Level, AWMF Registry No. 015/097, December 2025, Version 1.0) Geburtshilfe Frauenheilkd, 2026.PMID 42459841
- [5]Burchell AN, Grennan T, Fahim C, Gaid D, et al. Application of the Cascade of Care Framework to Guide Evidence-Informed Implementation of Anal Cancer Screening Guidelines Cancer Control, 2026.PMID 42432992
- [6]Zimet GD, Kasting ML, Thompson EL, Head KJ Shared clinical decision-making for vaccination: A view through the lens of mid-adult HPV vaccination Hum Vaccin Immunother, 2026.PMID 42417053
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922