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)
herpes presentation
painful ulcerations
inguinal lymphadenopathy
headaches
fatigue
herpes investigation
NAAT
herpes management
acyclovir
topical analgesia, salt bathing
