gentourinary

Question 1

26F pc: fishy smell discharge, clue cells seen in microscopy.
What is the treatment?

Answer 1

Metronidazole

Question 2

19F PC: yellow cloudy discharge. the microscpy shows gram -ve intracellular bacteria.
what are your investigations?

Answer 2

NAAT test

Question 3

what is the difference in treatment for chlamydia vs gonorrhoea

Answer 3

clap: azirthomycin 1g or doxycycline 100mg
gonorrhoea: azithromycin 1g and ceftriaxone 1g

Question 4

30F PC: itchy burning ‘down below’. green frothy discharge. upon examination you see a strawberry cervix
what is your treatment?

Answer 4

oral metronidazole 400–500 mg twice a day for 5–7 days, or metronidazole 2 g as a single oral dose, or tinidazole 2 g as a single oral dose.

Question 5

16f PC itchy burning down below with white thick discharge. microscopy shows hyphae and gram +ve spores.
what is your treatment?

Answer 5

clotrimazole, econazole, miconazole, or fenticonazole) or an oral antifungal (fluconazole or itraconazole).

Question 6

what oral infection that also infects the genitalia is common after a course of antibiotics

Answer 6

thrush (candida)