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3. Y5 Zero to finals: O&G > Gonorrhoea > Flashcards

Gonorrhoea Flashcards

1
Q

What is the bacteria responsible for Gonorrhoea?

A

Neisseria gonorrhoeae

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2
Q

What type of bacteria is Neisseria gonorrhoea?

A

Gram negative

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3
Q

How does Gonorrhoea spread?

A

Unprotected vaginal / oral / anal intercourse

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4
Q

Who does Gonorrhoea most commonly affect?

A

MSM under 25

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5
Q

What are the RF for Gonorrhoea? (5 things)

A
  1. Age under 25
  2. MSM
  3. Urban areas
  4. Hx of STIs
  5. Multiple partners
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6
Q

What are the CF of Gonorrhoea? (5 things)

A
  1. Asymptomatic (90% men / 50% women)
  2. Lower abd / pelvic pain + tenderness
  3. Dyspareunia
  4. Discharge (purulent: green / yellow) (odourless)
  5. Dysuria
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7
Q

What are some Differential Dx that present similarly to Gonorrhoea?

A

Chlamydia

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8
Q

What is important to do when investigating someone w sus Gonorrhoea?

A

Full STI screen (bc STIs can co-exist)

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9
Q

What investigations should you do for sus Gonorrhoea? (2 things)

A
  1. Endocervical / vaginal swab –> NAAT
  2. Endocervical / urethral swab –> Microscopy + culture
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10
Q

What is NAAT? (3 points)

A
  1. Nucleic Acid Amplification Testing
  2. Gold standard investigation for Chlamydia
  3. Often has dual testing for both chlamydia + gonorrhoea
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11
Q

While waiting for lab results of gonorrhoea investigations to come back, what should you do for the pt?

A

Treat w empirical abx

(if signs + symptoms are very sus)

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12
Q

What is the Tx for Gonorrhoea?

A

Single dose Ceftriaxone 1g

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13
Q

What advice should you give a pt receiving Tx for Gonorrhoea? (2 things)

A
  1. Abstain from sex for 7 days
  2. Use protection
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14
Q

What are the complications of Gonorrhoea? (6 things)

A
  1. PID
  2. Chronic pain
  3. Infertility
  4. Conjunctivitis
  5. Disseminated Gonococcal inf
  6. Septic arthritis
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15
Q

What is Disseminated Gonococcal Inf?

A

Gonorrhoea complication

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16
Q

Where does the bacteria spread in Disseminated Gonococcal infection? (2 things)

A
  1. Skin
  2. Joints
17
Q

What does Disseminated Gonococcal Infection cause? (4 things)

A
  1. Skin lesions
  2. Polyarthralgia (joint pain)
  3. Migratory polyarthritis (arthritis dat moves between joints)
  4. Systemic symptoms (fever / fatigue)

3. Y5 Zero to finals: O&G (27 decks)

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