Genital Ulceration Flashcards
1
Q
DD for genital ulceration
A
viral illness (HSV, VZV, EBV, HIV, syphilis) Crohn's Bechets STI drug eruption self-harm candida boils lichen sclerosis
2
Q
diagnosis
A
NAATs
HIV/syphilis serology
viral swabs (HSV- amies)
syphilis PCR
3
Q
incubation of herpes
A
3-6days
4
Q
duration of genital herpes
A
14-21 days
5
Q
what is herpes?
A
enveloped virus with dsDNA
6
Q
presentation of genital herpes
A
painful papules > vesicles blistering and ulceration of external genitalia external dysuria discharge local lymphadenopathy fever and myalgia (prodrome)
7
Q
which type of HSV is more likely to cause recurrent episodes?
A
HSV-2
8
Q
when is there risk of transferral to neonate?
A
3rd trimester
9
Q
diagnosis of herpes
A
swab deroofed blisters in viral transport medium/ PCR
10
Q
management of herpes
A
PO acyclovir
pain relief
11
Q
when is ganciclovir used?
A
CMV
