Session 6- Infections of the Reproductive Tract Flashcards
What is the microbe that causes chlamydia
Chlamydia trachomatis
What is the most common STI n the UK
Chlamydia trachomatis
What microbe causes Gonorrhoea
Neisseria gonorrhoeae
-gram negative diplococcus
What does gonorrhoea cause
Thick yellow, discharge and dysuria
What is NGU
Non-gonococcal urethritis
- inflammation of the urethra with associated discharge
- can be pathogen negative
What pathogens can cause NGU
Chlamydia trichomatis
Mycoplasma genitalium
Trichomonas vaginalis
How do we investigate sti
Urine sample
Urethral swab- usually gonorrhoea
When do women get physiological discharge
Secretory phase - post ovulation to prevent further fertilisation
- thicker cervical mucus
- cyclical
- No other associated symptoms
- clear
Symptoms of C. Trachomatis in women
Discharge
Post-coital bleeding
Dyspareunia
Symptoms of C. Trachomatis in women
Discharge
Post-coital bleeding
Dyspareunia
What pathogen causes trichomoniasis
Trichomonas vaginalis
Why does tricomonas vagina is thrive in the vagina
Vagina pH - increased alkalinity of vagina favours acquisition of disease
How do we treat trichomoniasis
Metronidazole
What is the normal flora in vagina
Lactobacillus
-produces lactic acid to keep vagina acid and healthy
What causes bacterial vaginosis
Gardnerella baginalis
How do we investigate chlamydia
Vulvo-vaginal swabs and endocervical swabs
How can we investigate Gonorrhoea in women
VVS endocervial swab
How do we investigate Trichomoniasis
High vaginal swab - poster for nix
How do we investigate BV
High vaginal swab, gram staining , KOH test
Honestly do we investigate candida
HVS, Microsocopy > culture
What causes vaginal discharge - infective
N. Gonorrhoeae
C. Trachomatis
T. Vaginalis
What causes vaginal discharge - non sexually transmitted
Bacterial vagnosis
Candidiasis
What types of HPV cause the majority of genital infections
6 and 11
Which types of HPV have the highest association with cervical cancer
16 and 18
