Not STI's

Question 1

What sort of genital complaints may someone possess?

Answer 1

Discharge from an orifice
Pain from somewhere
rashes
Lumps and swellings
Cuts, sores, ulcers
Itching
Change in appearance
Vague sense of things being not right

Question 2

What microbial conditions are not regarded as an STD? (5)

Answer 2

Vulvovaginal candidosis
BActerial vaginosis
Balanoposthitis- anerobic/candidial
Tinea cruris
Erythrasma
Infected sebaceous glands
Impetigo
Cellulitits

Question 3

What is vulvovaginal candidosis?

What causes vulvovaginal candidosis?

What are the symptoms?

Answer 3

V common ,can be trivial but can cause misery in a minority
90% candida albicans
Usually acquired from bowel
Often asymptomatic, if symptomatic:

Thrush, itch, Characteristic discharge (thick cottage cheese, often described as an increased amount)
Fissuring, erythema with satellite lesions

Question 4

What increases you likelihood of vulvovaginal candidosis?

Answer 4

Diabetes/oral steroids
Reproductive age group
Immune suppression
Pregnancy

Question 5

How do you treat vulvovaginal candidosis?

Answer 5

Azole antifungals (clotrimazole 500mg, PV once, Fluconazole 150mg PO once

Maintain skin,a void irritants, treat dermatitis

Question 6

What is bacterial vaginosis?

What are the symptoms?

Answer 6

Typical asymptomatic bacterial infection caused by a reduction in lactobacilli and an overgrowth of associated bacteria

It is the commonest cause of bacterial vaginosis and may cause watery grey/yellow discharge
May be worse after periods/sex
Sometimes sore/itch from dampness

Question 7

What are the associated problems with bacterial vaginosis?

What can you do to get a diagnosis?

Answer 7

Endometriosis
Premature labour
Increased risk of HIV acquisition

Classic discharge
pH
Gram stained smear of vaginal discharge

Question 8

How do you treat bacterial vaginosis?

Answer 8

Metronidazole
Clindamycin
Probiotics
Vaginal acidification

Question 9

What is candida balantis

Answer 9

infection or inflammation of the skin on the head (glans) of the penis

Question 10

What is Zoon’s balantis?

Answer 10

Chronic inflammation secondary to overgrowth of commensal organisms plus foreskin malfunction

Question 11

What is impetigo?

Answer 11

A staph aureus or strep pyogenes infection

Question 12

What is erysipelas?

Answer 12

A strep pyogenes infection

Question 13

What is a dermatrophyte infection?

Answer 13

fungal infection e.g. trichophyton rubrum

Question 14

What is tinea curtis?

Answer 14

Dermatophytes- Athlete’s groin

Question 15

What is erythrasma?

Answer 15

Corynebacteerium minutissumum

Question 16

What are fox-fordyce spots?

Answer 16

Little spots found around the tip of the penis

Question 17

What is vulval papillomatosis

Answer 17

small, shiny, skin-colored growths on a woman’s vulva, which is the outer part of the vagina. The growths, or papillae, occur in a line or as symmetrical patches on the labia minora — smaller inner folds — on both sides of the vulva

Question 18

What are penile pearly papules (coronal papillae)

Answer 18

More growths on the penis, this time found underneath the foreskin, beside the glans

Question 19

What are the various pain syndromes that can occur?

Answer 19

Vestibulodynia- provoked introital tenderness (pain when putting things in vagina)
Vulvodynia- persistent burning or aching
Chronic pelvic pain syndrome