Sexual Infections Flashcards
Gonnorhoea organism
Gram -ve diplococci
found on urethral / vulvovaginal swab
NAAT (urine test - most specific + sensitive)
Gonorrhoea feature
sx women (discharge) men: discharge, itchiness, dysuria
Gonorrhoea treatment
IM ceftriaxone
Vaginalis organism
Gardnerella vaginalis (anaerobic) gram stain of discharge KOH whiff test
Vaginalis features
foul smelling
white / clear discharge
Vaginalis management
oral metronidazole 5-7 days
Candidiasis organism
Candidiasis albicans
Candidiasis features
cottage cheese discharge
non-foul smelling
itchy
Candidiasis management
clotrimazole pessary
Trochimonas vaginalis features
strawberry cervix
yellow / green frothy, foul smelling discharge
Trochimonas vaginalis management
oral metronidazole 5-7
Syphilis features
primary: painless ulcer
secondary: 10 weeks post primary infection, painless warty genitalia lesions / ulcers, rash, lymphadenopathy
tertiary: systemic disease, granulomatous disease, ascending aorta disease
Syphilis investigations
Treponema pallidum
Syphilis management
penicillin based Abx
herpes features
HSV (herpes simplex virus)
