Sexually transmitted disease Flashcards
What is the most common cause of STI?
Chlamydia trachomatis
It is the most common cause of curable bacterial sexually transmitted infection (STI) worldwide. It manifests primarily as urethritis in males and endocervicitis in females
What is LGV?
LGV (lymphogranuloma venereum) LGV stands for lymphogranuloma venereum. It’s a type of chlamydia bacteria that attacks the lymph nodes, which are an important part of your body’s defence against infections. LGV is very rarely seen in heterosexual men and women in the UK but cases are being seen among gay and bisexual men.
What are the main STIs to learn about and their treatments?
- Chlamydia trachomatis (most common) - doxocycline
- Gonnorhea - ceftriaxone
- MGEN –> mycoplasma genitalium (like chlamydia) - doxocycline
- syphillis - penicllin benzathine
- genital ulcer disease - syphillis and herpes
6 HPV - ablation
7 Molluscum contagiosum - wait and see
- Herpes - HSV1 and HSV2 - aciclovir
Suggest the two main causes of genital ulcers
Syphillis (deeper)/ primary
Herpes
Suggest three causes of vaginal discharge
Thrust
Trichomonas vaginalis
Bacterial vaginosis
How do you treat trichomonas vaginalis?
Trichomoniasis can be cured with a single dose of prescription antibiotic medication (either metronidazole or tinidazole), pills which can be taken by mouth.
What STIs can be detected using microscope?
Syphillis and gonnorhea
How is each STI screened?
- Chlamydia trachomatis (most common) - NAAT
- Gonnorhea - cultures, NAAT and sensitivity
- MGEN –> NAAT
- syphillis - PCOT - point of care test, EIA IgG, RPR (rapid plasma reagin), VDRL (venereal disease research lab test)
- genital ulcer disease -
6 HPV -
7 Molluscum contagiosum -
- Herpes - HSV1 and HSV2 - NAAT
What is the prevalence of HIV in the UK?
103 800 people
Suggest two places HIV testing is done?
GUM clinic and antenatal screening
What is AIDS?
AIDS related illness
<200 CD4+ cells
What further testing must be done for AIDS patients?
TB, pneumonia and cancer
What is reactive arthritis?
Reactive arthritis, also called Reiter’s syndrome is a condition that causes redness and swelling (inflammation) in various joints in the body, especially the knees, feet, toes, hips and ankles.
It usually develops after you’ve had an infection, particularly a sexually transmitted infection or food poisoning.
In most cases, it clears up within a few months and causes no long-term problems.
Men and women of any age can get it, but it’s more common in men, and people aged between 20 and 40.
What are three main symptoms of reactive arthritis?
Conjuctivitis
Urethritis
Synovitis
What is SARA?
Sexually acquired reactive arthritis ( SARA) is a reactive arthritis caused by an immune reaction to an infection, often a sexually transmitted infection. It is caused by immune complexes ( so antibodies that fight infection and proteins from the infection) being deposited in the joints .
What are the symptoms of chlamydia?
What are the symptoms of gonnorhea?
Pain in sex for women (dys-par-reun-iaa) dyspareunia.
Bloody discharge for women.
Kidney problems
Reiter’s syndrome
Risk of PID and ectopic pregnancy
What is the term for painful sex?
Dyspareunia
What are some treatments for MGEN?
What rash could this be from?
Syphillis
(so easy to treat)
What type of infection is this?
Herpes labialis is HSV1
What is this?
Disseminated HSV2
What disease is this picture showing?
Molluscum contagiosum
What is this showing?
Strawberry cervix in trichomonas vaginalis
What other condition is associated with chlamydia serovars?
Lymphogranuloma venereum
Also treated doxocycline
Characterised by haemmorhagic prostitis
More common in MSM
What is perihepatitis otherwise known as? What is it?
Fitz-Hugh-Curtis syndrome. Fitz-Hugh-Curtis syndrome (FHCS) refers to the development of a perihepatitis in association with pelvic inflammatory disease (PID).
Affects diapphrgamtic surface of liver.
Mimics cholecystitis.
When is sTRawberry cervix seen?
Trichomonas vaginalis
