Sexually Transmitted Infections Flashcards
Cervical ectropion?
Cells lining inside of cervix growing on the outside can lead to bleeding
Waiting longer regret percent?
20 for men
And 42 in women
Syphilis rates are higher in men by?
X17
Female genital examination labelling?
A- mons pubis B-clitoral hood C-clitoris D-vestibule E- anus F- labia majora G-labia minora H-urethra I- hymen J- introitus K- bartholins glands L-posterior fourchette M- perineum
S-shafft F- foreskin Cos- coronal sulcus G-glans M-meatus Fr- frenulum Gc- corona of glans
Small tiny spots on penis are called?
Pearly penile papules,
Sebacious glands (fordyce spots)
Small spots on vulva
Vulval papules/ papillomatosis
Difference in bacterial and viral?
Bacterial- more florid symptoms, early presentation, rapid diagnosis, curative, reservoirs controlled.
Virus- unaware of infcetion, delayed presentation, diagnostic test unrealiable, symptomatic treatment only, often life long, expanding reservoirs
Syphilis start?
1-3 week after contact (9 to 90)- begins with red mark then riased spot and then ulcer
Enlarged lymph nodes in the groin/neck
Heals within 1-3 weeks
Condylomata lata?
White grey lumps in moist areas
What is strawberry cervix caused by?
Trichomonas vaginalis
Treated by metronidazole
HPV virus causing warts most common?
Type 6 and 11, 90%
Ovarian cancer HPV types?
16 and 18
Gay and bisexual men should?
Get vaccinated for hepatitis a and b and HPV and consider HIV PrEP
Chlamydia and gonorrhoea is highest in which ethnicity?
Black Caribbean and then black African
What is a core group?
sub-group of the population – high turnover not a static entity highly sexually active individuals high prevalence of infection reservoirs of infection high frequency of transmission
What are the worrying signs on genitals?
Malignant melanoma
Psoriasis
Tinea Cruris- dermatophyte fungal infection
Prurience papules
What type of bacteria is gonorrhoea?
Intracellular gram negative diplo-cocci
Secondary syphillis begins?
2-6 weeks after 1st stage and last 2-4 weeks
Signs of secondary syphillis
Flu like illness Million spirochetes Headache Lymphadenopathy Mouth ulcers Arthritis Rash on palms and soles Condylomata lata
What is trichomonas?
Single cell protozoan parasite
Dysuria and discharge frothy
Pox virus can cause skin lesions called?
Molluscum contagiosum
Symptoms and signs of herpes simplex type 1 and 2?
painful ulceration, dysuria, vaginal discharge
systemic symptoms e.g. fever and myalgia (more common in first occurrence)
recurrences generally less sever
Blistering ulceration
Painful inguinal lympadenopathy
Heals after 5 to 14 days
Candida thrush?
fungal
itching, discharge, swelling
papular rash in males
topical antifungals
Bacterial vaginosis?
discharge / “fishy” odour imbalance of vaginal flora overgrowth of anaerobes often result of over-washing / bubble baths etc. responds to metronidazole
Complications of gonorrhea and chlamydia?
PID, epididymitis, infertility, chronic pain, seronegative arthritis +/- urethritis and conjunctivitis
Complications of bacterial agnosia and trichomonas vaginalis?
miscarriage, early labour, low-birth weight
miscarriage, early labour, low-birth weight
Complications of HPV and warts?
cervical cancer, anal/vulval/penile intraepithelial neoplasia (AIN/VIN/PIN)
Complications of syphillis?
dementia, cardiac abnormalities etc etc
Complications of Hep b and c?
cirrhosis, liver cancer
Complications of HIV?
opportunistic infections, lymphoma, non-AIDS malignancies
