Genital Herpes Flashcards
1
Q
How does genital herpes initially present?
A
Primary infection
2
Q
How does primary infection present?
A
Incubation 3-6 days Duration 14-21 days Blistering and ulceration of external genitalia Pain External dysuria Vaginal or urethral discharge Local lymphadenopathy Fever and myalgia
3
Q
How do recurrent episodes present?
A
More common with HSV-2
Usually unilateral/small blisters and ulcers
Minimal systemic symptoms, resolves within 5-7 days
Viral shedding
4
Q
Special circumstances in genital herpes which need specific managemnt?
A
Pregnancy
5
Q
Management of Genital herpes?
A
Oral antiviral treatment: acyclovir 400mg TDS x5/7
Consider topical lidocaine 5% ointment if painful
Saline bathing
Analgesia
