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Phase 3a Obstetrics + sexual health > Non STI and other? > Flashcards

Non STI and other? Flashcards

1
Q

Sx of BV?

A

Painless
malodour less thin grey fishy DC

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1
Q

what causes Bacterial Vaginosis?
Physiology?

A

excessive PV cleaning + new sex partner

loss of normal bacteria flora; lactobacilli (maintains Acidic pH) replaced with (high anaerobes) Gardnerella vaginalis

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2
Q

Dx of BV?
Criteria?

A

Amsel criteria
need at least 3 out of 4

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3
Q

what does amsel criteria contain?

A

pH>4.5
+ve Whiff test with KOH
White/grey DC
Clue cells on histology (gram -ve infiltration of epithelium)

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4
Q

what other criteria can be used when analysing microscopy and why?

A

Hay ison criteria
depending on level of gardnerella present

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5
Q

Tx for BV?

A

PO 400mg BD Metronidazole for 7 days

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6
Q

Tx for BV in pregnancy?

A

Oral/topical metronidazole for 7 days

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7
Q

why is BV bad in pregnancy/general?

A

Increased risk of Preterm labour, PROM, Miscarriage, High STI risk

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8
Q

What is candida?

A

genital thrush

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9
Q

causes of candida/genital thrush?

A

T2DM
Pregnant
recent Abx use
new sex partner

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10
Q

Sx of candida?

A

Painless, malodourless, cottage cheese DC, LOTS, satellite lesions

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11
Q

Dx of candida?

A

clinical but do need high vaginal swab of DC

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12
Q

Tx of candida?

A

stat dose 150mg PO Fluconazole

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13
Q

Tx of candida in pregnancy?

A

300mg Clotrimazole pessary

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14
Q

Tx for oral thrush?

A

Fluconazole

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15
Q

What is Pelvic inflammatory disease (PID)?

A

Ascending STI pelvic infection
(bacteria spread from vagina to rest of upper genital tract - ovaries, uterus, Fallopian tubes)

16
Q

What is the MC STI causing PID?

A

CT (or NG, M.G (mycoplasma genitalium))

17
Q

Sx of PID?

A

deep dysparaunia, discharge, cervicitis (PC/PMB), chronic pelvic pain, salpingitis + oopheritis (low fertility), vaginitis

18
Q

Dx of PID?

A

Triple swab
adnexal motion tenderness on bimanual
TV USS with contrast
HIV serology
bhCG - ectopic rule out

19
Q

Tx of PID?

A

100mg BD Doxycycline for 7 days + 1g IM Ceftriaxone + PO 400mg Metronidazole

20
Q

Complications of PID?

A

Infertility
High ectopic pregnancy
Fitz Hugh curtis (violin string diaphragmatic - hepatic adhesions) - peripheral abscess
Tx = laparoscopic adhesionolysis

21
Q

What is Lymphogranuloma venereum (LGV)?

A

CT induced (L2 Serovar) lymphadenopathy

22
Q

Sx and Tx of LGV?

A

Sx = ulcerating papule + proctocolitis + inguinal LNadenopathy

Dx and Tx = same as chlamydia

23
Q

What is balanitis?

A

inflammation of the glans penis

24
Q

what are the 2 causes of balanitis?

A

Candida - MC
Lichen sclerosis (BXO)

25
Q

Sx of balanitis caused by candida?

A

white itchy lesions, gunky white thick discharge

26
Q

Tx of balanitis caused by candida?

A

Topical clotrimazole

27
Q

Sx of balanitis xerotica obliterans?

A

White plaques +/- tip of urethral meatus +/- phimosis (narrowing of foreskin - can’t be retracted)

28
Q

Typical Patient with Lichen sclerosis?
age, gender, what is it?

A

40-60 y/o
M+F
Fibrosis of superficial dermis leading to scar tissue and plaques

29
Q

Sx of lichen sclerosis?

A

white shiny plaques
Koebner phenomena (worse with friction)

30
Q

What is lichen sclerosis called in M and F?

A

M = Balanitis xerotica obliterans (BXO)
F = Kraurosis vulvae (>menopause)

31
Q

Dx of lichen sclerosis?

A

clinical, can do biopsy if uncertain

32
Q

Tx of lichen sclerosis?

A

high potency steroid 0.05 clobetasol proprionate

33
Q

What is pubic lice?

A

phthirus pubis (crab louse)

34
Q

Sx of pubic lice?

A

severe itchy pubic region +/- visible movement
Maculae cerulae (blue small regions of feeding)

35
Q

Tx of pubic lice?

A

permethrin topical insecticide

36
Q

What is a chancroid?
Sx?

A

painful genital ulceration
discharge
inguinal LNadenopathy
due to Hemophilus Ducreyl (-ve stretobacillus)

37
Q

Tx of a chancroid?

A

stat PO azithromycin

Phase 3a Obstetrics + sexual health (15 decks)

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