GUM Flashcards
How might chlamydia present?
- Urethral/ cervical discharge (white/ yellow/ grey, may have a smell)
- Bleeding
- Dysuria
How is chlamydia diagnosed?
NAAT on first pass urine (males) or vulvovaginal swab (females)
How is chlamydia managed? (Normally vs if pregnant)
Doxycycline 7 days
1g stat azithromycin if pregnant
What is the characteristic discharge in BV?
Thin, grey, ‘fishy’ smell
What 3 findings are used in the diagnosis of BV?
Vaginal pH > 4.5
Positive whiff test
Stippled vaginal epithelial cells on microscopy
What organisms cause BV?
Anaerobic organisms such as Garnerella vaginalis
How is BV managed?
Oral metronidazole for 5-7 days
What is the characteristic discharge in trichomoniasis?
Offensive, yellow/ green, frothy
What symptoms (other than discharge) are involved in trichomoniasis?
Strawberry cervix, vulvovaginitis
What 2 findings can diagnose trichomoniasis?
Vaginal pH < 4.5
Wet mount microscope shows motile trophozoites
How is trichomoniasis managed?
Oral metronidazole 5-7 days or 2g stat
What is the characteristic discharge in bacterial candidiasis (thrush)?
‘Cottage cheese’
What symptoms other than discharge can thrush present with?
Dyspareunia
Dysuria
Itch
How is Candida managed?
Oral fluconazole 150mg stat
How does gonorrhoea present in males vs females?
Males - dysuria, urethral discharge, epididymitis,
Females - dysuria, discharge (from cervicitis)
What is the discharge like in gonorrhoea?
Thick yellow/ green
What organism causes gonorrhoea?
Neisseria gonorrhoeae (a gram-negative diplococci)
How is gonorrhoea managed?
Ceftriaxone 1g IM
How does genital herpes present?
- Painful genital ulceration
- Tender inguinal lymph nodes
How is genital herpes diagnosed?
NAAT, HSV serology
How is genital herpes managed?
- Supportive management (e.g. analgesia and saline bathing)
- Oral aciclovir
How does syphilis present?
- Chancre - painless ulcer at site
- Local non-tender lymphadenopathy
What organism causes syphilis?
Treponema pallidum (a spirochaete)
How is syphilis managed?
IM benzathin benzylpenicillin
Which infection causes a white/ yellow smelly discharge, vaginal/ urethral bleeding and dysuria?
Chlamydia
Which infection causes a thin, grey, ‘fishy’ smelling discharge?
Bacterial vaginosis
Which infection causes an offensive frothy discharge that’s yellow or green in colour?
Trichomoniasis
Which infection has a classical ‘cottage cheese’ discharge?
Candida
Which infection causes a thick yellow/ green discharge?
Gonorrhoea
Which infection can cause a strawberry cervix?
Trichomoniasis
Which infection can present with dyspareunia, dysuria and an itch?
Candida
Which infection can present with epididymitis in males?
Gonorrhoea
Which infection would show stippled vaginal epithelial cells on microscopy and a vaginal pH of >4.5
Bacterial vaginosis
Which infection would show motile trophozoites on a wet mount microscopy and a vaginal pH of >4.5
Trichomoniasis
Which infection is caused by anaerobic organisms such as Gardnerella vaginalis?
Bacterial vaginosis
Which infection is caused by spirochaete such as Treponema pallidum?
Syphilis
Which infection is managed with 7 days of doxycycline (or stat azithromycin if pregnant)?
Chlamydia
Which infection is managed with 5-7 days of oral metronidazole?
Bacterial vaginosis
Which infection can be managed with oral metronidazole either for 5-7 days or a 2g stat dose?
Trichomoniasis
Which infection is managed with oral fluconazole or PV clotromazole?
Candida
Which infection is managed with a single dose of IM ceftriaxone?
Gonorrhoea
Which infection can be managed supportively or with oral aciclovir?
Genital herpes
Which infection is managed with IM benzathine benzylpenicillin?
Syphilis
