GUM Flashcards
Bacteria most commonly associated with bacterial vaginosis
Gardnerella vaginalis
Risk factors for bacterial vaginosis
Multiple sexual partners
Excessive vaginal cleaning
Recent antibiotics
Smoking
Copper coil
Presentation of bacterial vaginosis
Fishy-smelling watery grey discharge
50% asymptomatic
Diagnosis of bacterial vaginosis
High vaginal swab - clue cells
Management of bacterial vaginosis
Metronidazole
Complications of bacterial vaginosis
Increased risk of catching STIs
Miscarriage
Pre-term delivery
Premature rupture of membranes
Chorioamnionitis
Low birth weight
Postpartum endometriosis
Risk factors for vaginal candidiasis
Increased oestrogen
Poorly controlled diabetes
Immunosuppression
Broad-spectrum antibiotics
Symptoms of severe candidiasis
Erythema
Fissures
Oedema
Painful intercourse
Dysuria
Excoriation
Management options for vaginal candidiasis
Clotrimazole cream
Clotrimazole pessary
Fluconazole tablets
What type of bacteria is chlamydia trachomatis
Gram-negative
Presentation of chlamydia in women
Abnormal vaginal discharge
Pelvic pain
Abnormal vaginal bleeding
Painful sex
Painful urination
Presentation of chlamydia in men
Urethral discharge or discomfort
Painful urination
Epididymo-orchitis
Reactive arthritis
What test is used to diagnose chlamydia
NAAT
Management for chlamydia
Doxycycline for 7 days
Management of chlamydia in pregnant women
Erythromycin 7 days
Amoxicillin 7 days