Sexually Transmitted Infections and the GI Tract Flashcards
In what 6 ways can STIs be transmitted
Sexual / genital secretions Direct innoculation Trauma IVDU Fomites Ingestion
How is chlamydia typically transmitted?
Secretions
How is ghonorrhoea trasmitted?
Secretions
Fomites
How is HIV transmitted
Secretions
direct Innoculation
How is syphilis transmitted
Direct innoculation
Ingestion
What parts of the GI tract can be affected form STIs
Oesophagus Stomach Duodenum Small intestine Large intestine Colon Rectum Anus
There was an outbreak of a disease in 2011. Name the disease and how it spreads
Shigella
MSM
What 3 sites are swabs taken from for PCR testing
Pharynx
Urine
Rectum
What public health interventions are used to prevent the infection from spreading
Sexual absence for a week
Condom use
Partner informed
What is a typical sign of gonnorehea
Loads of discharge Lower abdo pain Diarrhoea Rectal bleeding Anal discharge
What are 3 complications of rectal gonorrhoea
Abscess formation
Skin lesions
Increased susceptibility to HIV
What population is there a high incidence (men, then women)
Men aged 20-24
Women ages 16-19
What are the symptoms of rectal chlamydia
Most are asymptomatic
Milder than gonorrhoea
Anal discomfort / itch, discharge
Associated symptoms
What drugs are used to treat rectal chlamydia
Azithromycin
Doxycycline
What are the presentations of syphilis
Painless ulcer often unnoticed but can be anything ! sometimes similar to crohn’s
What has caused the recent increase in syphilis?
More sex among MSM
What are some of the secondary signs of syphilis
Mucosal patches and ulcers Mouth Codylomata lata - warty like regions Systemic inflammation Hepatitis
How is herpes simplex virus transmitted?
Ano-genital or oro-anal
What are the symptoms of herpes simplex?
Extreme pain Ulcers Painful defacation rectal bleeding Mucus viraemic symtoms
How is HPV transmitted
ano-genital or oro-anal
What are the symptoms of HPV
anal warts
What has HPV caused an increase in?
Head and neck cancers
Anal cancers
What is lymphogranuloma venereum associated with
Group sex
drug use
syphilis
Hep C
What are the clinical features of LGV
Ulcer
What 4 GI ways can STIs present
Peri-anal pathology
Proctitis
Proctocolitis
Hepato-biliary problems
