NB: keep talking to and reassuring the patient, using their name throughout.
Endocervical or vulvovaginal NAAT swab
Tests for Chlamydia, Gonorrhoea ± Trichomonas ± Mycoplasma genitalium
High-vaginal charcoal media swab
Tests for Bacterial vaginosis, Candida, group B Streptococcus, Trichomonas
NB: in some circumstances (e.g. symptomatic females or if a NAAT swab was positive for Gonorrhoea), another endocervical charcoal swab may also be required for Gonorrhoea culture. This allows antibiotic sensitivity testing, unlike the NAAT swab. This is taken by placing a charcoal swab tip in endocervix and doing one full 360˚ sweep (not rotation).
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A patient presents to ED with chest pain and this trace. What would you do?