gonorrhoea

Question 1

what is it caused by

Answer 1

gram negative dipplococci infection of the mucous membranes Neiserria gonorrhoea by sexual transmission

Question 2

routes of transmission

Answer 2

oral, anal, vagina , doesnt require penetration as it’s found in discharge so can be contaminated with the hand

Question 3

people at risk

Answer 3

sexually active young adults who dont pracctice safe sex
ppl w/ x partnera
sexually abused children
women during pregnancy

Question 4

male symptoms of gonorrhoea

Answer 4

urethritis
green creamy dishcarge typlalliy morning drop 
dysuria
pain testicles 
proctitis if spread by anal intercourse

Question 5

female sypmtoms of gonorrhoea

Answer 5

80% are assymtomatic until the disease advances 
creamy green like pus 
itchy vulva
lower abdominal pain indicative of PID
pharyngitis during cunnilingus

Question 6

complications

Answer 6

disseminated gonoccocal infection

urethral scarring in men

ectopic pregnancy in women

PID

gonococcal meningitis

purulent arthritis typically in the knee

Question 7

diagnosis

Answer 7

gram stain

urine specimens

swab from cervix or urethra that’s incubated for 2 days to provide antibiotic spectrum

Question 8

what other diseases shold be checked alongside gonorrhoea

Answer 8

chlamydia
HIV
syphillis

Question 9

rx

Answer 9

500mg ceftriaxone
IM

1g azithromycin for chlamydia

Question 10

follow up

Answer 10

after completion of rx with culture

Question 11

how is congenital gonorrhoea acquires

Answer 11

intrapartum (during delivery)
causing

ophthalmia neonatorum

dissemnitated neonatal gonorrhoea

Question 12

ophthalmia neonatorum symptoms

Answer 12

evere conjunctivitis and keratitis usually in the first 48 hours of life. There may be purulent discharge. If

Question 13

rx of opthalmia neonatorum

Answer 13

opical (e.g. chloramphenicol 0.5% eye drops) and intramuscular benzylpenicillin.

Question 14

what does the rx of gonorrhoea depend on

Answer 14

the antimicrobial resistance