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Gastro > Sexually Transmitted Infections and the GI Tract > Flashcards

Sexually Transmitted Infections and the GI Tract Flashcards

1
Q

In what 6 ways can STIs be transmitted

A 
Sexual / genital secretions 
Direct innoculation
Trauma
IVDU
Fomites
Ingestion
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2
Q

How is chlamydia typically transmitted?

A

Secretions

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3
Q

How is ghonorrhoea trasmitted?

A

Secretions

Fomites

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4
Q

How is HIV transmitted

A

Secretions

direct Innoculation

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5
Q

How is syphilis transmitted

A

Direct innoculation

Ingestion

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6
Q

What parts of the GI tract can be affected form STIs

A 
Oesophagus
Stomach
Duodenum 
Small intestine
Large intestine
Colon
Rectum
Anus
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7
Q

There was an outbreak of a disease in 2011. Name the disease and how it spreads

A

Shigella

MSM

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8
Q

What 3 sites are swabs taken from for PCR testing

A

Pharynx
Urine
Rectum

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9
Q

What public health interventions are used to prevent the infection from spreading

A

Sexual absence for a week
Condom use
Partner informed

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10
Q

What is a typical sign of gonnorehea

A 
Loads of discharge
Lower abdo pain
Diarrhoea
Rectal bleeding 
Anal discharge
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11
Q

What are 3 complications of rectal gonorrhoea

A

Abscess formation
Skin lesions
Increased susceptibility to HIV

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12
Q

What population is there a high incidence (men, then women)

A

Men aged 20-24

Women ages 16-19

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13
Q

What are the symptoms of rectal chlamydia

A

Most are asymptomatic
Milder than gonorrhoea
Anal discomfort / itch, discharge
Associated symptoms

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14
Q

What drugs are used to treat rectal chlamydia

A

Azithromycin

Doxycycline

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15
Q

What are the presentations of syphilis

A

Painless ulcer often unnoticed but can be anything ! sometimes similar to crohn’s

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16
Q

What has caused the recent increase in syphilis?

A

More sex among MSM

17
Q

What are some of the secondary signs of syphilis

A 
Mucosal patches and ulcers
Mouth 
Codylomata lata - warty like regions 
Systemic inflammation
Hepatitis
18
Q

How is herpes simplex virus transmitted?

A

Ano-genital or oro-anal

19
Q

What are the symptoms of herpes simplex?

A 
Extreme pain
Ulcers
Painful defacation
rectal bleeding 
Mucus
viraemic symtoms
20
Q

How is HPV transmitted

A

ano-genital or oro-anal

21
Q

What are the symptoms of HPV

A

anal warts

22
Q

What has HPV caused an increase in?

A

Head and neck cancers

Anal cancers

23
Q

What is lymphogranuloma venereum associated with

A

Group sex
drug use
syphilis
Hep C

24
Q

What are the clinical features of LGV

A

Ulcer

25
Q

What 4 GI ways can STIs present

A

Peri-anal pathology
Proctitis
Proctocolitis
Hepato-biliary problems

Gastro (67 decks)

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