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Sexual Health > Gonorrhoea > Flashcards

Gonorrhoea Flashcards

1
Q

What type of bacteria?

A

Gram -ve diplococcus

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2
Q

Transmission rate?

A

75%

>20% strains are resistant

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3
Q

Symptoms

A

2/3 asymptomatic

Urethritis - severe dysuria (worse at start) and freqency
Cervicitis - green vaginal discharge

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4
Q

Examination

A

Speculum - cervicitis and green discharge

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5
Q

Investigations

A

Endocervical swab –> culture
Vulvovaginal swab –> NAAT
First void urine –> NAAT

Urethral, rectal and pharyngeal swab if symptomatic or MSM

MSU - exclude UTI

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6
Q

Treatment

A

Ceftriaxone 250mg IM
Cefixime 400mg PO
+ Chlamydia Tx

Contact tracing
Refrain from sexual contact until partner is Tx
Admit if disseminated

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7
Q

Complications

A

PID (15% –> PID)
Bartholin’s or Skene’s abscess
Fitz-hugh-curtis syndrome

Extragenital infections - pharyngitis, proctitis, purulent arthritis

Pregnncy risk - PROM, chorioamnionitis, post-partum endometritis, opthalmia neonatorum

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Sexual Health (10 decks)

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