Sexual health Flashcards
1
Q
What is the most likely diagnosis of grey and watery discharge with a foul fish smell?
A
BV - pH of fluid will be >4.5
Microscopy reveals a loss of lactobacilli and the presence of ‘clue cells’
2
Q
Management of BV and TV?
A
Metronidazole
3
Q
What is the most likely diagnosis of frothy green/yellow malodorous discharge + ‘strawberry’ cervix?
A
Trichomonas vaginalis (TV) - can also cause external dysuria Take vaginal swab - show flagellated protozoa on microscopy
4
Q
What STI most often cause hypertrophic micro purulent cervicitis?
A
Chlamydia - although 75% asymptomatic in women
5
Q
Treatment of chlamydia?
A
1g stat dose of Azithromycin
or 7day course of doxy
6
Q
Symptoms of chlamydia in men?
A
dysuria and discharge
orchitis