Genitourinary medicine Flashcards
How does gonorrhoea typically present?
Green/yellow odourless discharge
Dysuria and pelvic pain
What are the treatment options for gonorrhoea?
Ceftriaxone
Ciprofloxacin
What is a risk factor for thrush?
Poorly controlled diabetes
How is thrush treated?
Antifungals: Clotrimazole
Make sure you make the patient aware that this medication can damage latex therefore they’ll need to use additional contraception while taking this medication.
How does chlamydia present?
Discharge, bleeding, dyspareunia, dysuria
How is chlamydia treated?
100mg doxycycline bid for 7 days
What can untreated chlamydia become?
Lymphogranuloma venereum
What would you suspect in a patient presenting with discharge, dyspareunia, dysuria, a burning/itching sensation at the opening of their urethra and increased frequency?
Mycoplasma genitalium
What most commonly causes pelvic inflammatory disease?
Gonorrhoea (often more severe), chlamydia, mycoplasma genitalium.
What is Fitz-Hugh-Curtis Syndrome?
A complication of PID where inflammation and infection of the liver capsule leads to adhesion of the liver to peritoneum.
Will present with RUQ pain radiating to the shoulder tip.
What would you suspect in a patient with yellow frothy discharge that has a “fishy” odour and on examination is described as having a ‘strawberry cervix’?
Trichomoniasis
Requires contact tracing and is treated with metronidazole.
