Sexually transmitted diseases (STIs) Flashcards
define rectal gonorrhoea
infection with neisseria gonorrhoea
presentation of rectal gonorrhoea
low abdominal pain diarrhoea (blood and mucus) tenesmus urethral discharge can be asymptomatic
diagnosis of rectal gonorrhoea
proctoscopy, gram stain, PCR
management of rectal gonorrhoea
antibiotics
public health interventions
define rectal chlamydia
this is an infection with chlamydia trachomatis
presentation of rectal chlamydia
asymptomatic itch discomfort discharge milder than gonorrhoea
diagnosis of rectal chlamydia
proctoscopy
gram stain
PCR
management of rectal chlamydia
doxycycline and public health interventions
define lymphogranuloma venereum
infection with chlamydia that infects the lymph nodes
presentation of lymphogranuloma venereum
ulcers inguinal syndrome strictures fistulas genital elephantiasis
diagnosis of lymphogranuloma venereum
MSM with haemorrhagic proctitis
what should everyone with lymphogranuloma venereum be tested for?
HIV
hep C
syphilis
define syphilis
multisystem STI
presentation of syphilis
ulcers
systemic inflammation
hepatitis
proctoscopy-colitis
diagnosis of syphilis
swab
microscopy
bloods
management of syphilis
benzathine benzylpenicillin
presentation of herpes simplex virus
virus symptoms with ulcers, painful defecation, PR bleeding and mucus
diagnosis of herpes simplex virus
culture
PCR
serology for gG1 and gG2
management of herpes simplex virus
IV acyclovir
human papilloma virus (HPV)
infection with HPV6, 11, 16 or 18
presentation of HPV
anal warts (risk of cancer development)
diagnosis of HPV
Pap test and DNA
management of HPV
vaccine
salicyclic acid
