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3A > Gynaecology - Infection > Flashcards

Gynaecology - Infection Flashcards

1
Q

Chlamydia aetiology / presentation / investigations / management

A

Chlamydia trachomatis
Gram -ve cocci

Dysuria
Discharge
Bleeding

Investigations

  • Swab
  • Urine sample
  • Nuclear acid amplification test

Management

  • Contact tracing
  • Azithromycin - 1 dose
  • Doxycycline - 7 days
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2
Q

Chlamydia complications

A

Pelvic inflammatory disease
Subfertility
Ectopic pregnancy

Reactive arthritis

Epididymitis
Endometritis
Cervicitis

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3
Q

Gonorrhoea aetiology / presentation / investigations / management

A

Neisseria gonorrhoea
Gram -ve diplococci

Discharge
PC bleeding

Swab
Urine sample
Nuclear acid amplification test

Contact tracing
IM Cef

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4
Q

Gonorrhoea complications

A

Pelvic inflammatory disease
Subfertility
Ectopic pregnancy

Dermatitis
Polyarthritis
Tenosynovitis

Pregnancy

  • Premature labour
  • Miscarriage
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5
Q

Herpes

A

Oral - Human herpes virus 1
Genital - Human herpes virus 2

Painful ulcers 
Dysuria
Fever
Myalgia
Lymphoedema

Ix - Swab / PCR

Rx - Acyclovir

Complications - Neonatal herpes

  • Increased risk if first outbreak during pregnancy
  • Elective CS if active infection > 28 weeks
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6
Q

Candida

A

Candida albicans

Abx - Broad spectrum 
Steroids 
Immunosuppression 
Pregnancy 
DM

COTTAGE CHEESE DISCHARGE
Dyspareunia
itching
Red/inflamed vulva

Ix - Endocervical swab

PV clotrimazole
PO fluconazole - CI in pregnancy

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7
Q

BV aetiology and presentation

A

Gardenerella vaginosis
Overgrown anaerobes replace lactobacillus

Douching
Sharing towels

Discharge

  • Thin
  • Grey
  • Fishy
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8
Q

BV investigations / management

A

AMSEL’S CRITERIA

  1. Clue cells
  2. pH > 4.5
  3. Whiff test +ve
  4. Thin white discharge

Metronidazole

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9
Q

Trichomonas vaginalis

A

Flagella protozoa

Strawberry cervix
Green frothy discharge
Itching
Dysuria

Wet mount microscopy - Polymorphonuclear lymphocytes

Rx - Metronidazole

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10
Q

Genital warts

A

Condylomata acuminata
HPV 6+11

Small fleshy protuberances

Ix - Swab / PCR

Rx

  • Cryotherapy
  • Immiquimod
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11
Q

Triple swabs

A
  1. Endocervical chlamydia swab
    • Nucleic acid amplification test
    • Chlamydia and gonorrhoea
  2. Endocervical sample - Tests for gonorrhoea
  3. Hi-vaginal charcoal swab - Fungal and bacterial infections
    • BV
    • TV
    • Candida
    • Group B strep
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3A (31 decks)

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