Genital Tract Infections Flashcards
What condition may a baby of a mother who had chlamydia infection develop?
Neonatal conjunctivitis
What is the treatment for chlamydia trachomatis infection?
First line doxyclycline or azithromycin
Erythromycin or ofloxcalin 2nd line
Rectal - Doxycycline.
Give some complications of Neisseria gonorrhoeae infection.
Epididymo-orchitis
Prostatism
PID
Disseminated gonococcal infection
What infection may mothers with gonorrhoea pass on to child?
Ophthalmia neonatorum
What is the Tx for gonorrhoea?
IM Ceft
PO Azithromycin
If penicillin allergy then spectinomycin
What is the most infectious stage of a syphillis infection?
Secondary syphillis
What are the primary screening tests for syphillis?
What is a confirmatory test that can be done?
What are some quantitative test that can be done to assess the activity of syphillis and its response to Tx?
Treponema EIA
TPPA
IgG immunoblot
VDRL and RPR
What is the treatment for syphillis?
Early - Ben Pen G x 1 IM
Late latent, CVS or gummatous - Ben Pen G x3
Neurosyphillis - Procaine penicillin + Probenecid x 14 days
What type of virus is herpes simplex virus?
Enveloped DNA double stranded
What is the Tx for herpes infection?
Aciclovir, Valciclovir and Famciclovir
What are the most common symptoms of Trichomonas Vaginalis infection seen in males?
While discharge
Dysuria
What is the Tx for trichomonas vaginalis?
Metronidazole
What are the symptoms of trichomonas vaginalis in women?
How is diagnosis made?
Yellow and frothy discharge
Vulvitis, vaginitis and strawberry cervix in 2% of cases.
High vaginal swabs (wet preparation and culture
What is the Tx of scabies?
Permethrin
What is the treatment for pubic lice?
Malathion
What are some topical Tx for anogenital warts?
What is the vaccination?
Podophyllotoxin
Imiquimod
5-flurouracil
Gardasil
Give some bacteria that most commonly cause bacterial vaginiosis.
Gardnerella vaginalis
Mobiluncus spp
Mycoplasma hominis
Give some risk factors for getting bacterial vaginosis
What is significant about the discharge?
What is the Tx?
What is the lab diagnosis made off?
Vaginal douching Black race Recent partner change Smoking STI Receptive cunnilingus
Offensive fishy discharge
Metronidazole
High vagina gram stain and evaluated with Hay/Ison criteria or Amsel’s criteria (clue cells present)
How can you distinguish vulvovaginal candidiasis from bacterial vaginosis?
Vaginal discharge is typically curdy and non-offensive in vulvovaginal candidiasis
Soreness in candidiasis
Dyspareunia in candidiasis
itch in candidiasis
What are some risk factors for vulvovaginal candidiasis?
How is it diagnosed?
Pregnancy ABx Oestrogen oral contraceptives Diabetes Immunosupression Atopy history
High vaginal smear +/- culture
What are the causative organisms in
Chancroid
Donovanosis
Haemophilus ducreyi
Klebsiella granulomatis
Give 4 general complications and systemic presentations of STI.
PID
Epididymo-orchitis
SARA
Prostatis
