Genitourinary Flashcards
How does chlamydia present - women
Pelvic pain
Intermenstrual / postcoital bleeding
dysparerunia
dysuria
discharge - white and abnormal
How does chlamydia present - men
urethral discharge
dysuria
epididymo-orchitis
How do you diagnose chlamydia
Men - 1st catch urine NAAT
Women -
Vulvovaginal NAAT swab
Endocervical NAAT swab
What is the management of chlamydia
Oral doxycycline
How does gonorrhea present - in women
Odourless purulent discharge - green / yellow
dysuria
pelvic pain
How does gonorrhoea present - men
odourless purulent discharge
dysuria
testicular pain or swelling
How do you diagnose gonorrhoea
Women - Endocervical NAAT swab OR charcoal swab
Men - 1st catch urine NAAT
What is the management of gonorrhoea
IM Ceftriaxone
How does bacterial vaginosis present
Thin watery discharge - white
Fishy smelling
How do you diagnose Bacterial vaginosis
Charcoal swab - Microscopy
High vaginal swab
Self taken low vaginal swab
Clue cells
How does trichomonas vaginalis present
vaginal discharge - frothy / yellow - green
Fishy smell
Ithcing
Dysuria
Dysparerunia
Strawberry cervix
Which conditions raise vaginal pH
Bacterial vaginosis
Trichomonas
How do you diagnose trichomonas vaginalis
high vaginal charcoal swab - microscopy
posterior fornix
How does PID present
pelvic pain
abnormal vaginal discharge
abnormal bleeding - IMB / PCB
Deep dyspareunia
Fever
Dysuria
How do you diagnose PID
Triple swabs
