sexual health Flashcards
what is the mx for chlamydia
doxycycline 7 day course
if pregnant- stat dose azithromycin- erythromycin or amoxicillin can also be used
which organism causes syphilis
Treponema pallidum
primary syphilis
chancre - painless ulcer at the site of sexual contact
local non-tender lymphadenopathy
often not seen in women (the lesion may be on the cervix)
secondary syphilis
systemic symptoms: fevers, lymphadenopathy
rash on trunk, palms and soles
buccal ‘snail track’ ulcers (30%)
condylomata lata (painless, warty lesions on the genitalia )
tertiary syphilis
gummas (granulomatous lesions of the skin and bones)
ascending aortic aneurysms
general paralysis of the insane
tabes dorsalis
Argyll-Robertson pupil
congenital syphilis
blunted upper incisor teeth (Hutchinson’s teeth), ‘mulberry’ molars
rhagades (linear scars at the angle of the mouth)
keratitis
saber shins
saddle nose
deafness
syphilis investigation
non-treponemal and treponemal blood tests
mx of syphilis
IM benzathine benzylpenicillin at all stages
organisms causing epididymitis
young: chlamydia, gonorrhea
older/ low risk sexual health: e coli
organism of gonorrhea
gram negative diplococci neisseria gonorrhea
management gonorrhea
IM ceftriaxone stat
management epidydimitis
unknown cause: ceftriaxone IM single dose and doxycycline
enteric organism: oral quinolone eg ciprofloxacin
what are the symptoms of disseminated gonococcal infection
tenosynovitis, migratory polyarthritis, dermatitis (maculopapular or vesicular)
