S6 L2 Infections of the Reproductive Tract

Question 1

Method of classifying infections
- 2 ways

Trend of STIs

STIs are common in which groups?

Answer 1

• Sexually transmitted vs Non-sexually transmitter
• Based on presenting symptoms

Trend:

• Chlamydia and gonorrhaea are increasing
• Genital warts are decreasing

STI’s can co-exist together

STI’s are commoner in:
- Males, black African and Carribean

Question 2

Risk factors for developing an STI…

Answer 2

Question 3

STI: Clamydia

• Full name
• Where is it most common?
• Type of organism (group)
• Virulence factor
• Symptoms in men

Answer 3

Question 4

STI: Gonorrhoea

• Full name
• Where is it most common?
• Type of organism (group)
• Virulence factor
• Symptoms in men
• An example of a worrying ‘thing’ it can cause

Answer 4

Question 5

(Non-) sexually transmitted infections: Non-gonococcal urethritis (NGU)

• What is this?
• Can it be sexually transmitted, if so, by what?
• What causes it if it is non-sexually transmitted?
• Symptoms
• Test for it?

Answer 5

Question 6

Investigation for:

• Gonorrhoea
• Clamydia
• Urethritis

Answer 6

Question 7

Physiological discharge in women

• Why
• Due to what?
• Features of this discharge?
• What to exclude first?

Answer 7

Question 8

STI in women:

• Symptoms in women compared to men?
• Name some STI’s they are affected by?

Answer 8

Question 9

STI: Trichomoniasis

• Full name
• Type of organism (group)
• Virulence factors
• Symptoms (female)
• Treatment
• Investigation method

Answer 9

Question 10

Non-STI: Candidiasis

• Full name
• Type of organism (group)
• Virulence factors
• Why people get this condition?
• Symptoms (female)
• Treatment
• Investigation method

Answer 10

Question 11

Non-STI: Bacterial Vaginosis (BV)

• Full name of organism
• Which organism is protective against it?
• What can increase risk of this infection?
• Symptoms?

Answer 11

Question 12

Suspected infection, think about:

• Other features…
• Asymptomatic…
• Risk of Pelvic Inflammatory Disease

Answer 12

Question 13

Investigations of:

• Chlamydia
• Gonorrhoea
• Trichomoniasis
• BV
• Candida

Answer 13

Question 14

Summary of Vaginal discharge
- the different types and causes of it

Answer 14

Question 15

Gential Lesion - Men and Women
STI: HPV
- Full name
- Type of virus
- What does it cause…
- Different types…
- How to identify them
- Vaccination
- Investigations

Answer 15

Question 16

STI: Herpes simplex virus

• Full name
• Type of virus
• Describe the infection
• Symptoms
• 2 main types and what they are associated with
• Check which areas for HPV
• Swabs
• Management

Answer 16

Question 17

STI: Syphillis

• Full name
• Type of pathogen
• Transmission
• Symptoms of primary syphilis and secondary syphilis (how does this happen)
• Test
• Management

Answer 17

Question 18

Management
- General management STIs

Answer 18

Question 19

Management:
- Non-STI

Answer 19

Question 20

Pelvic Inflammatory Disease (PID)

• Defintion
• Occurs due to which infections
• Other sources of infection

Answer 20

Question 21

PID Signs and Symptoms

Answer 21

Question 22

PID: Other differentials for Lower abdominal pain

Answer 22

Question 23

PID: Differential for AUB

Answer 23

Question 24

PID: Complications

Answer 24

Question 25

PID: Management

Answer 25

Question 26

GW:

• What is Fitz-Hugh Curtis
• When thinking about differentials

Answer 26

Fitz-Hugh Curtis syndrome - comprises right upper quadrant pain associated with perihepatitis - C.trachomatis or less commonly N.gonorrhoeae

Now - practice ALWAYS thinking about differentials - ask questions to address the top differentials

(don’t need to know much about this condition)