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Infection > Sexually Transmitted Infection > Flashcards

Sexually Transmitted Infection Flashcards

1
Q

What are the bacterial sexuall transmitted infecitons

A 
Chlaymdia
Gonorrhea
MGEN
LGV
Syphillis 
Chancroid 
Donovanosis
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2
Q

What is the most common bacterial STI

A

Chlaymdia

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3
Q

What is the presentation of chlaymdia

A 
Majority is asymptomatic 
Increased vaginal discharge 
Post coital and intermenstural bleedin 
Dysuria 
Lower abdominal pain
In men urethral discharge
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4
Q

What are the complications of chlamydia

A 
Pelvic inflammatory disease 
Ectopic pregancy
Infertility 
SARA
Epididymis orchitis
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5
Q

Which people are commonly affected with SARA more

A

HLA B27 gene

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6
Q

What is the diagnosis of chlamydia by

A

Nucleic acid test:

  • 1st urine in men
  • swab in women
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7
Q

What is the treatment of chlamydia

A

Doxycycline for 1 week

Contact tracing and treatment of partners

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8
Q

What is LGV

A

Part of chlaymdia and is serova l1-3

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9
Q

What is the presentation of LGV

A 
Ulcer 
Papulae
Haemorrhagic proctitis 
Fistulae
Strictures
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10
Q

What is the treatment for LGV

A

Doxycycline for 3 weeks

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11
Q

What is the diagnosis if LGV

A

Nucleic acid test

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12
Q

Who does LGV occur in

A

Men who have sex with men

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13
Q

What type of bacteria is gonorrhoea

A

Gram negative cocci: neisseria gonorrhea

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14
Q

What is the presentation of gonorhhea in men

A

Discharge (thick and creamy)

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15
Q

What is the presenation of gonorrhea in females

A

Dicharge and abdominal pain

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16
Q

What is the complication of gonorrhea

A

Pelvic inflammatory pain
Prostatitis
Disseminated GC infection i.e when the infection spreads to the skin, joints and tenosynovitis

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17
Q

How is gonorrhoea disagnosed

A

Microscopy
Nucleic acid test
Culture

18
Q

What will the microscope of gonorrhea show

A

Gram negative cocci

19
Q

How is gonorrhea treated

A

Ceftriaxone IM

Full STI screen after management

20
Q

What does MGEN (mycoplasme genitalium) present like

A

Chlaymdia

21
Q

How do we mamage MGEN

A

Macorlide if not resistant

22
Q

What does syphylisis present with

A

Ulcers

23
Q

How do we diagnose syphyillis

A

Dark ground microscopy
PCR swab
Blood test
Serology

24
Q

What are the ways sphyilis can present as

A

Primary: ucler
Secondary: rash
Tertiary; develops after many years as cardiovascular disease

25
Q

What is the management of early sphyillis

A

Benzathine (penicillin) single dose

26
Q

What is the management of late sphyillis

A

Benzanthine penicillin weekly dose for 3 weeks

27
Q

What impact does sphyilis have

A

Has a long term impact on a developing foetus

28
Q

What are the viral STI that can occur

A

HPV
Herpes
Molluscum contagiosum

29
Q

What are the types of HPV that cause STI

A

Type 6 and 11

30
Q

What are the types of herpes (HSV) that cause STI

A

Type 1 and 2

31
Q

What is the treatment of HPV

A

Topical

Ablate the wart

32
Q

What is the treatment for herpes

A

Aciclovir

33
Q

What is the treatment for molluscum contagiousum

A

No treatment

34
Q

What is the symptoms for herpes (HSV)

A 
Asymptomatic 
Painful ulceration 
Vaginal or urethral discharge 
Fever 
Myalgia
35
Q

What is the diagnosis of HSV (herpes)

A

Nucleic acid testing

HSV type specific antibodies blood test

36
Q

What are the other infections that can occur to cause vaginal dishcharge

A

Bacterial vaginosis
Thrush
Trichomonas vaginalis

37
Q

What is the treatment for thrush

A

Anti fungal treatment

38
Q

What are the risk factors for UTI

A

Immunocompromised
Pregnancy
Diabetes

39
Q

What are the symptoms of acute pyelonephritis (kidney)

A 
Flank pain
High fever
Shaking and chilld
Nausea
Vomiting
40
Q

What are the symptoms for bladder cystitis

A 
Pelvic pressure
Lower abdomen discomfort
Nocturia
Dysuria
Blood in urine
41
Q

What are the symptoms for urethritis

A

Dysuria

Dishcharge

42
Q

How do we diagnose UTIs

A 
Urine dipstick
Urine microscopy
Urine culture
Imaging
Blood culture

Infection (17 decks)

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