Genital Tract Infection

Question 1

Complications of Chlamydia?
- Gyne
- Obs
- Neonatal

Answer 1

Gynae complications
* PID
* Tubal infertility (75% of cases)
* Ectopic pregnancy (75% of cases)
* Peri-hepatitis (Fitz Hugh Curtis syndrome)

Obstetric complications
* PROM
* Preterm Delivery

Question 2

Diagnosis of Chlamydia?

Answer 2

endocervical or vulvovaginal swab for nucleic acid amplification test (NAAT)

Question 3

Management Of Chlamydia?

Answer 3

Non-pregnant patient - Doxycycline 100mg BD for 7 days

Pregnant patient – Erythromycin 500mg BD for 10-14 days

Question 4

Complications of Gonorrhoea?

Answer 4

Gynae complications
* pelvic inflammatory disease (10% of cases progress to PID)
* Bartholin’s or Skene’s abscess
* dissemination of the infection
* tubal infertility
* ectopic pregnancy

Obstetric complications
* preterm rupture of membranes
* preterm delivery
* chorioamnionitis
* neonatal conjunctivitis (40-50%)

Question 5

How does disseminationof a ghonorea manifest?

Risk Factor?

Answer 5

Disseminated gonorrhoea – fever, pustular rash, septic arthritis, migratory polyarthralgia

C6-C9 complement deficiency is a risk factor for dissemination

Question 6

Ghonorea Treatment?

Answer 6

Ceftriaxone 500mg IM stat (Pregnant/Non)

Contact tracing and treatment of partners and former partners

Question 7

Symptoms/Signs of Pelvic Inflamatory Disease?

Answer 7

Symptoms – pelvic pain, deep dyspareunia, vaginal discharge, irregular menstruation, intermenstrual bleeding (IMB) or postcoital bleeding (PCB)

Signs – cervical excitation (pain with movement of the cervix), uterine or adnexal tenderness

Question 8

Investigations for PID?

Answer 8

Question 9

Management of PID?

Answer 9