Genital Tract Infections Flashcards
What is the causative agent of thrush?
Candida albicans
What organism causes syphilis?
Treponema pallidum
At what CD4 count is AIDS diagnosed?
Less than 200
What features of the rash in secondary syphilis are particularly characteristic?
It affects soles of feet and palms of hands
What infection causes a rash affecting soles of feet and palms of hands?
Secondary syphilis
What is the commonest cause of abnormal vaginal discharge?
Bacterial vaginosis
What is the commonest cause of genital ulceration?
Herpes simplex virus (type 2)
What is the causative agent of candidiasis?
Candida albicans
What are the Amsel criteria for the diagnosis of BV?
- Raised vaginal pH (>4.5)
- Typical discharge
- Positive ‘whiff’ test (fishy odour when KOH added to secretions)
- Clue cells
3/4 needed for diagnosis
What is the triad of symptoms present in Reiter’s syndrome?
- Arthritis
- Conjunctivitis
- Urethritis
What genetic predisposition is associated with Reiter’s syndrome?
HLA B-27
What is the investigation of choice for chlamydia?
First-void urine PCR
What is the treatment of chlamydia?
Azithromycin
Or doxycycline
What virus causes genital warts?
HPV
What virus causes genital herpes?
HSV type 2
What test is done to diagnose syphilis?
Veneral disease research labs (VDRL) test
What is the treatment of chlamydia?
Azithromycin 1g PO stat
What is the treatment of gonorrhoea?
Azithromycin PO & Ceftriaxone IM
What is the treatment of bacterial vaginosis?
Metronidazole
What is the treatment of trichomonas vaginalis?
Metronidazole
What is the treatment of genital warts?
Topical podophyllotoxin
What is the treatment of genital herpes?
Aciclovir
What is the treatment of candidiasis?
Topical clotrimazole
Or
Oral fluconazole
