Infection of urogenital tract Flashcards

0
Q

What are the at risk groups of STI?

A
Young mothers 
Minor ethnic groups 
Increased sexual partners
Young teenage mothers
Unemployed 
Socioeconomic background
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1
Q

What are the epidemiological sources for data on infections of the urogenital tract?

A

GUM clinics

Communicable disease surveillance centres

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2
Q

What is the morbidity associated with STI?

A
Ectopic pregnancy
Uterine blockage 
Infertility
Blood borne infection 
Reproductive tract cancers
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3
Q

What causes HPV?

A

Human papilloma virus

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4
Q

What causes herpes?

A

Herpes Simplex virus

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5
Q

What causes chlamydia?

A

Chlamydia Trachomatis

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6
Q

What causes Gonorhoea

A

Neisseria Gonorrhoea

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7
Q

What causes syphilis?

A

Treponema Pallidum

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8
Q

What causes trichomoniasis?

A

Trichomonas Vaginalis

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9
Q

How does chlamydia present?

A
Urethritis
Vaginitis
Prostatitis
Proctitis 
Cervicitis
Salpingitis
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10
Q

How do you diagnose chlamydia?

A

Urethral and cervical swabs

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11
Q

How do you treat chlamydia?

A

Azithromycin

Doxycycline

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12
Q

How do you diagnose gonorrhoea?

A

Smear

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13
Q

What are the symptoms of gonorrhoea?

A
White, curd like discharge
Salpingitis 
Urethritis 
Epididymitis 
PID 
Prostatitis and proctasis
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14
Q

How do you treat gonorrhoea?

A

Ceftriaxone or ciproflaxin

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15
Q

How do you diagnose herpes?

A

Swab and smear of the ulcer

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16
Q

How does herpes present?

A

Ulcers and swellings
Lymphadenopathy
Fever
Dysuria

17
Q

How do you treat herpes?

18
Q

How do you diagnose HPV?

A

Blood culture

biopsy

19
Q

What are the symptoms of HPV?

A

Genital lesions

Cancer

20
Q

What are the symptoms of syphilis?

A
  1. ulcer
  2. fever, rash, lymphadenopathy
  3. granuloma
  4. cardiovascular and cvs pathology
21
Q

How do you diagnose syphilis?

A

Dark field microscopy

serology

22
Q

How do you treat syphilis?

A

Penicillin

23
Q

What are the symptoms of Trichomonas vaginosus

A

Vaginitis
Post coital bleed
Frothy, offensive discharge

24
How do you diagnose trichomonas?
Culture
25
What is the treatment of trichomonas?
Metronidazole
26
What causes scabies?
Pediculosus pubis
27
What are the symptoms of candidiasis?
Vaginosus Irritation Offensive, thick discharge
28
What can cause candidiasis?
disruption of normal bacteria high oestrogen antibiotics supression of lactobacilli
29
How do you diagnose candidiasis?
High vaginal smear and culture
30
What is the treatment for candidiasis?
fluconazole
31
What is bacterial vaginosis?
vaginosus | offensive discharge
32
How do you diagnose vaginosis?
KOH wiff test | high vaginal smear
33
How do you treat vaginosus?
Metronidazole
34
How is PID caused?
It is an infection ascending from the cervix into the pelvis
35
What does PID cause?
Tubo-ovarian cysts Endometriosis Saplingitis Oophritis
36
What are the causitive organisms of PID?
``` gonorrhoea chlamydia vaginosis cytomegalovirus TB ```
37
What is the investigations of PID?
Triple swabs Pregnancy tests Mid stream urine CRP
38
What are the symptoms of chronic pelvic inflammatory disease?
dysuria dysparenunia pelvic pain menstrual disturbance
39
What is a bartholin gland abscess?
infection of bartholins glands usually due to skin bacteria