HIV and sexually transmitted diseases Flashcards
How might infections be transmitted during ‘sex’?
Sexual/genital secretions
Direct inoculation
Trauma
Ingestions (shigella)
Name the risk factors for STIs?
< 25 years old Changing sexual partners Non condom use Men who have sex with men Past history of STIs Large urban areas Social deprivation Black ethnicity
Where can HIV affect the GI tract?
Mouth/pharynx Liver/biliary tract Small bowel Large bowel Rectum Anus
Where do hep A, B and C usually affect in the GI tract?
Liver/biliary tract
What organism is rectal gonorrhoea caused by?
Neisseria gonorrhoea
How is rectal gonorrhoea transmitted?
Direct contract of mucosal surfaces (anal sex etc)
What might be some symptoms of rectal gonorrhoea?
Short incubation period (5-10days)
Low abdo pain, diarrhoea, rectal bleeding, anal discharge, tenesmus - could have associated symptoms (urethral/vaginal discharge)
What organism is rectal chlamydia caused by?
Chlamydia trachomatis
What might be some symptoms of rectal chlamydia?
Milder than gonorrhoea
Anal discomfort/itch discharge
Assoc symtoms
What would be a symptom of primary syphilis?
Solitary painless ulcer
What would be symptoms of secondary syphilis?
Mucosal patches and ulcers
Mouth, anogenital, rectal
Systemic inflammation
Hepatitis
How is herpes simplex virus transmitted?
Ano-genital or oro-anal
What are some symptoms of herpes simplex virus?
Pain Ulcers Painful Defection Bleeding Mucus
How is human papillomavirus transmitted?
Ano-genital
Oro-anal
What do you usually find with human papillomavirus?
Anal warts - can extend to rectum
