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?

A

Aciclovir

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
Q

How do you diagnose trichomonas?

A

Culture

25
Q

What is the treatment of trichomonas?

A

Metronidazole

26
Q

What causes scabies?

A

Pediculosus pubis

27
Q

What are the symptoms of candidiasis?

A

Vaginosus
Irritation
Offensive, thick discharge

28
Q

What can cause candidiasis?

A

disruption of normal bacteria
high oestrogen
antibiotics
supression of lactobacilli

29
Q

How do you diagnose candidiasis?

A

High vaginal smear and culture

30
Q

What is the treatment for candidiasis?

A

fluconazole

31
Q

What is bacterial vaginosis?

A

vaginosus

offensive discharge

32
Q

How do you diagnose vaginosis?

A

KOH wiff test

high vaginal smear

33
Q

How do you treat vaginosus?

A

Metronidazole

34
Q

How is PID caused?

A

It is an infection ascending from the cervix into the pelvis

35
Q

What does PID cause?

A

Tubo-ovarian cysts
Endometriosis
Saplingitis
Oophritis

36
Q

What are the causitive organisms of PID?

A
gonorrhoea
chlamydia 
vaginosis 
cytomegalovirus
TB
37
Q

What is the investigations of PID?

A

Triple swabs
Pregnancy tests
Mid stream urine
CRP

38
Q

What are the symptoms of chronic pelvic inflammatory disease?

A

dysuria
dysparenunia
pelvic pain
menstrual disturbance

39
Q

What is a bartholin gland abscess?

A

infection of bartholins glands usually due to skin bacteria