S3E12 - LGV Management in Australian Clinical Exams

Welcome to Season 3 of AMC Clinical Deep Dive! Caused by Chlamydia trachomatis serovars L1–L3, Lymphogranuloma Venereum (LGV) presents as proctitis, genital ulcers, or painful inguinal buboes. This episode deconstructs the ASHM guidelines for acing this complex OSCE scenario. Learn key diagnostic steps: ordering rectal Chlamydia NAAT with mandatory LGV genotyping, and empirically treating for gonorrhoea and HSV while awaiting typing results. We cover the non-negotiable 21-day Doxycycline regimen, 21 days of strict sexual abstinence, 3-to-6-month contact tracing, and a mandatory 6-week Test of Cure. Deliver a safe, high-scoring management plan today! #AMCClinicalExam #LGV #LymphogranulomaVenereum #ChlamydiaSerovarsL1-L3 #Doxycycline21Days #ProctitisTreatment #IMGAustralia #ASHMGuidelines #TestofCure #ContactTracing Pro Tip: In your OSCE, do not prescribe a standard 7-day chlamydia course for suspected LGV! High-scoring candidates win top safety marks by prescribing Doxycycline 100mg BD for a full 21 days, explaining that chlamydial DNA persists in rectal tissue for up to 16 days. Remember two crucial exam facts: first, perform a Test of Cure (TOC) at 6 weeks (3 weeks after finishing treatment); second, primary care clinicians do NOT need to notify health departments for LGV in Australia, but contact tracing is a high priority (tracing back 3 months for symptomatic cases)! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.