Infectious Control Flashcards
Fishy smell. Thin white/grey homogenous discharge
- No itching, soreness.
- History of vaginal washes.
What is it? What investigation findings? and what antibiotic?
Bacterial Vaginosis ~ Gardenella V & Mycoplasma Hominis
Investigations:
pH more than 4.5
Clue cells on microscopy - stippled epithelial cells
Management = metronidazole 400mg BD 5-7 days
Fishy smell. Frothy yellow/green discharge
- Itching and soreness present
- Dysuria present
- Sexually active
- Strawberry cervix
What kind of organism causes it. What is the management?
Trichomoniasis - flagellated Trichomonas Vaginalis
Management: metronidazole 400mg BD 5-7 days
What are the symptoms of Chlamydia? Female and male
Female: dysuria, cervical and pelvic tenderness, dyspareunia, vaginal discharge, IMB/PCB,
Male: dysuria, epididymo-orchitis, reactive arthtritis
What tests would u do for Chlamydia and Gonorrhoea
Vulvo-vaginal wall swab (high) for female
Urine test for male
then use nuclear-acid amplification test
Management for Chlamydia for:
Non-pregnant female and male
Pregnant females
Doxycycline 100mg BD for 7 days
Azi/erythromycin if preg
F: asymptomatic (70%), vaginal discharge, dysuria, lower abdominal pain
M: dysuria & frequency, MUCOPURULENT urethral discharge, urethritis and meatal oedema
What is this? What org caused this?
Management?
Gonorrhoea via Neisseria Gonorrhoea (Gram Negative)
MX: Ceftriaxone 1g IM (one off dose) or with azithromycin
Management for Pelvic Inflammatory Disease?
Doxycycline WITH metronidazole AND a single dose of IM ceftriaxone 14 days
Cheese Curd/White discharge and plaques on vagina.
Redness of vulva and labia minora.
Vulval pruritis/itch, burning, swelling and dyspareunia.
a) What is this? What caused it?
b) Who gets it?
c) Management?
Candidiasis (thrush) from candida albicans or glabrata.
Pregnancy, T2DM, tissue maceration, HIV and use of antimicrobial or immunosuppressive drugs.
Topical antifungals like imidazoles or fluconazoles.
