Not STI's Flashcards
What sort of genital complaints may someone possess?
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
What microbial conditions are not regarded as an STD? (5)
Vulvovaginal candidosis BActerial vaginosis Balanoposthitis- anerobic/candidial Tinea cruris Erythrasma Infected sebaceous glands Impetigo Cellulitits
What is vulvovaginal candidosis?
What causes vulvovaginal candidosis?
What are the symptoms?
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
What increases you likelihood of vulvovaginal candidosis?
Diabetes/oral steroids
Reproductive age group
Immune suppression
Pregnancy
How do you treat vulvovaginal candidosis?
Azole antifungals (clotrimazole 500mg, PV once, Fluconazole 150mg PO once
Maintain skin,a void irritants, treat dermatitis
What is bacterial vaginosis?
What are the symptoms?
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
What are the associated problems with bacterial vaginosis?
What can you do to get a diagnosis?
Endometriosis
Premature labour
Increased risk of HIV acquisition
Classic discharge
pH
Gram stained smear of vaginal discharge
How do you treat bacterial vaginosis?
Metronidazole
Clindamycin
Probiotics
Vaginal acidification
What is candida balantis
infection or inflammation of the skin on the head (glans) of the penis
What is Zoon’s balantis?
Chronic inflammation secondary to overgrowth of commensal organisms plus foreskin malfunction
What is impetigo?
A staph aureus or strep pyogenes infection
What is erysipelas?
A strep pyogenes infection
What is a dermatrophyte infection?
fungal infection e.g. trichophyton rubrum
What is tinea curtis?
Dermatophytes- Athlete’s groin
What is erythrasma?
Corynebacteerium minutissumum
What are fox-fordyce spots?
Little spots found around the tip of the penis
What is vulval papillomatosis
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
What are penile pearly papules (coronal papillae)
More growths on the penis, this time found underneath the foreskin, beside the glans
What are the various pain syndromes that can occur?
Vestibulodynia- provoked introital tenderness (pain when putting things in vagina)
Vulvodynia- persistent burning or aching
Chronic pelvic pain syndrome
