Caused by Klebsiella granulomatis, this chronic infection presents as painless, "beefy" genital ulcers. This episode deconstructs the ASHM guidelines, preparing IMGs for key diagnostic and management decisions. Learn why treatment with Azithromycin or Doxycycline must continue until lesions completely resolve—not just for a fixed duration. We unpack essential OSCE safety points: seeking specialist advice, enforcing 100% mandatory public health notification, conducting a 6-month contact-tracing window, and using biopsies to rule out neoplastic transformation in recurring lesions.
Pro Tip: In your OSCE, do not treat Donovanosis like other common STIs! High-scoring candidates win major points by emphasising that first-line therapy (Azithromycin 500mg daily for 7 days OR 1g weekly for 4 weeks) must be continued until complete resolution of the lesions. Demonstrating safety awareness is key: explicitly state that you would seek specialist advice before starting treatment, notify the state/territory health department (100% mandatory), and order a punch biopsy if lesions recur to exclude neoplastic transformation. Mentioning these specific clinical safeguards is exactly what examiners look for to award a pass with distinction!
🎧 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.
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