Gynaecology - STI's Summary Flashcards
1
Q
STI’s Summary?
Chlamydia?
A
Organism:
- Chlamydia Trachomatis
Symptoms:
- Asymptomatic
- Females-vaginal discharge, inter-menstrual /post coital bleeding, cervicitis
- Males - urethritis, dysuria
- Most commom cause of PID
Investigations:
- NAAT - Nucleic acid amplification test
- From cervical swab, urine sample
Treatment:
- Doxycycline (7 days)
- Azithromycin (single dose)
2
Q
STI’s Summary?
Trichomoniasis?
A
Organism:
- Trichomonas vaginalis
Symptoms:
- Asymptomatic
- Females: vaginal discharge (green and offensive), vulvovaginitis, ‘strawberry cervix’, superficial dyspareunia, pH>4.5
- Males: urethritis
Investigations:
- Wet mount microscopy, can see organisms swimming
Treatment:
- Metronidazole
3
Q
STI’s Summary?
Gonorrhoea?
A
Organism:
- Neiseeia gonorrhoeae
Symptoms:
- Females: generally asymtomatic, vaginal discharge, cervicitis
- Males: Urethritis
Investigations:
- Endocervical swabs
Treatment:
- Azithromycin
- IM ceftriaxone
4
Q
STI’s Summary?
Genital Warts (condylomata accuminata)
A
Organism:
- Human Papillomavirus
Symptoms:
- Papilliform or flat warts
- May be pigmented
- May bleed
- May itch
Investigations:
- Clinical presentation
Treatment:
- !st line: topical podphyllum or cryotherapy
- 2nd line: imiquimod cream
5
Q
STIs Summary?
Genital Herpes?
A
Organism:
- Hepes Simplex Virus (HSV 1 &2)
Symptoms:
- Painful ulcerated lesions
- Dysuria
- Lymphadonopathy
Investigations:
- Clinical presentation/viral swab
Treatment:
- Acyclovir
6
Q
STIs Summary?
Syphillis?
A
Organism:
- Treponema pallidum
Symptoms:
- Primary syphillis-chancre
- Secondary syphillis-rash
- Tertiary syphillis-cardiac and neurological involvement (gummas)
Investigations:
- VDLR testing
Treatment:
- Penicillin
