infections Flashcards
types of HSV
1- oral but 40% genital; 2- genital herpes
symptoms herpes
inner surfaces labia majora, itchy and burning, painful reddish lumps then blisters. painful micturition
diagnosis herpes
prick blister to get vesicular fluid. rub with cotton bud. culture or PCR
treatment herpes
acyclovir. fam or valaciclovir
types of HPV causing warts
6 and 11
treatment warts
podophyllin, imiquimod cream, diathermy or laser
what can PID be due to
90% STI- chlamydia. 10%- child birth or instrumentation eg IUCD, TOP
features PID
severe bilat abdominal pain and tender (may be worse on one side), guarding, abdo spasms, pelvic tenderness, fever +- rigors, cervicitis- profuse or bloody discharge, heavy menstrual loss, N+V
diagnosis PID
laparoscopy. transvaginal pelvic ultrasound. multiple ovarian cysts, thickened fluid filled fallopian tubes, free fluid in pelvis
what is salpingitis
inflammation fallopian tube
what swabs should be taken PID
endocervical and urethral swabs. check for chlamydia
management PID if very unwell
IV ceftriaxone and doxy, then doxy and metronidazole 14 days
management PID if less unwell
ofloxacin and metronidazole for 14 days
complications acute salpingitis
chronic infection, long term tubal blockage, ectopics
what happens in chronic salpingitis
inflammation leads to fibrosis, adhesions develop between pelvic organs
