GUM Flashcards
What is the treatment of HSV?
Acyclovir 200 mg 5 times a day for 5 days
What is the treatment of thrush?
Fluconazole 150 mg (orally) as a single dose
What criteria is used in BV? What are the components? What score indicates the diagnosis?
Amsel criteria (3/4 needed)
- White homogenous thin discharge
- Fishy odour
- Clue cells on microscopy
- pH >4.5
What are 3 complication of gonorrhoea?
- PID
- Bartholin/Skene’s abscess
- Disseminated gonorrhoea
What do you get in disseminated gonorrhoea?
- Fever
- Pustular rash
- Migratory polyarthralgia septic arthritis
Give 4 causes of abnormal vaginal discharge
- Bacterial vaginosis
- Vaginal candidiasis
- Trichomoniasis
- Cervicitis/PID
Patient X complains of fishy-smelling, thin, grey discharge. They have no itching. What’s the dx?
Bacterial vaginosis
Patient X complains of white curdy discharge that doesn’t smell. They have superficial soreness. What’s the dx?
Vaginal candidiasis
Patient X complains of fishy-smelling, green frothy discharge. The also have pain on urinating. What’s the dx?
Trichomoniasis
Patient X complains of abnormal discharge along with post-coital bleeding. What’s the dx?
Cervicitis
What is the most common STI in the UK?
Chlamydia
What is the treatment of chlamydia?
Doxycycline (100mg) BD for 7 days
What is the treatment of Syphilis?
IM Benzathine benzylpenicillin
Which is more likely to be symptomatic gonorrhoea or chlamydia?
Gonorrhoea
Which STIs are detected by a high-vaginal charcoal media swab?
Bacterial vaginosis, trichomoniasis, candida and Group B streptococcus
