Sexual infections Flashcards
how do you screen an asymptomatic female?
vulvo-vaginal swab - NAAT (nucleic acid amplification test) - for gonorrhoea and chlamydia
bloods for STIs and HIV
how do you screen an asymptomatic male?
first void urine NAAT (nucleic acid amplification test) - for gonorrhoea and chlamydia
bloods for STIs and HIV
how do you screen an asymptomatic male if they are gay?
first void urine NAAT (nucleic acid amplification test) - for gonorrhoea and chlamydia
bloods for STIs and HIV
swabs of pharynx and rectum
what sort of symptoms can women get with STIs?
vaginal discharge
vulval discomfort, soreness, itching, pain
superficial/deep dyspareunia (pelvic pain)
vulval lumps/ulcers
bleeding - intermenstrual/post-coital
what sort of symptoms can men get with STIs?
pain on micturition/in urethra
discharge
genital ulcers/sores/blisters/lumps/rash
testicular pain/swelling
how do you screen a symptomatic male?
urethral swab
first void urine
dipstick urinalysis if dysuria
how do you screen a symptomatic female?
vuval vaginal swab high vaginal swab - for BV, TV, candida cervix swab dysuria -dipstick urine bloods for STIs and HIV
how do you screen a symptomatic gay male?
urethral swab
first void urine
dipstick urinalysis if dysuria
rectal/pharyngeal slides/cultures
which can cause red eye?
chlamydia. gonorrhoea
which can cause a generalised rash?
syphilis
how do you treat chlamydia
doxycline 1 week
azithromycin was used before as a stat dose
how do you treat gonorrhoea
ceftriaxone + azithromycin
how do you treat trichomonas vaginalis
metronidazole
how do you treat syphilis
benzyl penicillin IM
herpes Rx
acylovir
