Sexually Transmitted Infection Flashcards
What are the bacterial sexuall transmitted infecitons
Chlaymdia Gonorrhea MGEN LGV Syphillis Chancroid Donovanosis
What is the most common bacterial STI
Chlaymdia
What is the presentation of chlaymdia
Majority is asymptomatic Increased vaginal discharge Post coital and intermenstural bleedin Dysuria Lower abdominal pain In men urethral discharge
What are the complications of chlamydia
Pelvic inflammatory disease Ectopic pregancy Infertility SARA Epididymis orchitis
Which people are commonly affected with SARA more
HLA B27 gene
What is the diagnosis of chlamydia by
Nucleic acid test:
- 1st urine in men
- swab in women
What is the treatment of chlamydia
Doxycycline for 1 week
Contact tracing and treatment of partners
What is LGV
Part of chlaymdia and is serova l1-3
What is the presentation of LGV
Ulcer Papulae Haemorrhagic proctitis Fistulae Strictures
What is the treatment for LGV
Doxycycline for 3 weeks
What is the diagnosis if LGV
Nucleic acid test
Who does LGV occur in
Men who have sex with men
What type of bacteria is gonorrhoea
Gram negative cocci: neisseria gonorrhea
What is the presentation of gonorhhea in men
Discharge (thick and creamy)
What is the presenation of gonorrhea in females
Dicharge and abdominal pain
What is the complication of gonorrhea
Pelvic inflammatory pain
Prostatitis
Disseminated GC infection i.e when the infection spreads to the skin, joints and tenosynovitis
How is gonorrhoea disagnosed
Microscopy
Nucleic acid test
Culture
What will the microscope of gonorrhea show
Gram negative cocci
How is gonorrhea treated
Ceftriaxone IM
Full STI screen after management
What does MGEN (mycoplasme genitalium) present like
Chlaymdia
How do we mamage MGEN
Macorlide if not resistant
What does syphylisis present with
Ulcers
How do we diagnose syphyillis
Dark ground microscopy
PCR swab
Blood test
Serology
What are the ways sphyilis can present as
Primary: ucler
Secondary: rash
Tertiary; develops after many years as cardiovascular disease
What is the management of early sphyillis
Benzathine (penicillin) single dose
What is the management of late sphyillis
Benzanthine penicillin weekly dose for 3 weeks
What impact does sphyilis have
Has a long term impact on a developing foetus
What are the viral STI that can occur
HPV
Herpes
Molluscum contagiosum
What are the types of HPV that cause STI
Type 6 and 11
What are the types of herpes (HSV) that cause STI
Type 1 and 2
What is the treatment of HPV
Topical
Ablate the wart
What is the treatment for herpes
Aciclovir
What is the treatment for molluscum contagiousum
No treatment
What is the symptoms for herpes (HSV)
Asymptomatic Painful ulceration Vaginal or urethral discharge Fever Myalgia
What is the diagnosis of HSV (herpes)
Nucleic acid testing
HSV type specific antibodies blood test
What are the other infections that can occur to cause vaginal dishcharge
Bacterial vaginosis
Thrush
Trichomonas vaginalis
What is the treatment for thrush
Anti fungal treatment
What are the risk factors for UTI
Immunocompromised
Pregnancy
Diabetes
What are the symptoms of acute pyelonephritis (kidney)
Flank pain High fever Shaking and chilld Nausea Vomiting
What are the symptoms for bladder cystitis
Pelvic pressure Lower abdomen discomfort Nocturia Dysuria Blood in urine
What are the symptoms for urethritis
Dysuria
Dishcharge
How do we diagnose UTIs
Urine dipstick Urine microscopy Urine culture Imaging Blood culture
