Sexually Transmitted Infections Flashcards
How can infections be transmitted during sex?
Direct innoculation Trauma IVDU Formites (sex toys) Ingestion Sexual secretions
Give some risk factors for STIs
Being under 25 Changing sexual partner frequently Non-condom use Men who have sex with men Past history of STI Large urban areas Social deprivation Black ethnicity
Where in the GI tract can STIs occur?
Mouth Pharynx Stomach Liver Small intestine Anus
How is rectal gonorrhoea transmittted?
The direct contact of mucosal surfaces
Give some symptoms of rectal gonorrhoea
Short incubation period
Low abdo pain
Diarrhoea (with PR bleeding)
Anal/urethral/vaginal discharge
What is seen on proctoscopy of rectal gonorrhoea?
Inflamed mucosae with purulent exudate
What causes rectal chlamydia?
Chlamydia trachomatis (serovars D-K)
How is rectal gonorrhoea treated?
Ceftrixaxone (IM stat)
Doxycycline
How is rectal chlamydia treated?
Azithromycin (IM stat)
Doxycycline
How may primary syphilis present?
A solitary painless ulcer at site of infection
How may secondary syphilis present?
Mucosal patches and ulcers
Codylomata lata
Systemic inflammation
Hepatitis
Give some symptoms of herpes simplex
Pain Ulcers Painful defaecation Bleeding Mucous
What is lymphogranuloma venereum (LGV) associated with?
Group sex
Drug use
Syphilis
Hepatitis C
Give some clinical features of HGV
Primary ulcer
Secondary inguinal syndrome/ano-rectal syndrome
How is HGV treated?
Doxycycline for three weeks
