Spotter Flashcards
Ptx from SSA; recent heterosexual sexual contact
Dx? [1]
LGV
Which is chlaymdia and gonorrhoea? [2]
Chlamydia: clear discharge
Gonorrhoea: cloudy discharge
This patient has [].
What is the name of the sign depicted? [1]
Groove sign
A patient presents with single, painless ulcer.
What is the imaging performed here? [1]
What is the dx? [1]
Treponema pallidum: the cause of syphilis, dark ground microscopy.
Name for these presentations of syphilis? [2]
Which stage is it most commonly associated with? [1]
Secondary syphilis: (a): maculopapular rash on chest; (b) condylomata lata – perianal.
A patient has RPR +VE serology.
They present with this.
What is the dx? [2]
How long after primary infection would this occur? [1]
Gummata of the leg
- tertiary syphilus
- granulomatous lesions that develop 3–12 years after the primary infection
Describe this genital wart [1]
Intrameatal wart.
Dx? [1]
Tx? [1]
Molluscum contagiosum
- spontaneous resolution is common within 3 months, although up to 35% of patients experience a recurrence within 8–24 months.
- Cryotherapy, extraction of the central core, and piercing with an orange stick that has been dipped in tincture of iodine or phenol are all recommended treatments for the genital area.
Dx? [1]
Scabies <3
Name for this symptom? [1]
What pathology does it suggest is occurring? [1]
Keratoderma blennorrhagica - suggests sexually acquired reactive arthritis
SARA is identified much more commonly in men and in those who are []-positive or who have a family history of spondyloarthritis or iritis.
SARA is identified much more commonly in men and in those who are HLA-B27-positive or who have a family history of spondyloarthritis or iritis.
Typical skin lesions of []
PC:
- fever
- tenosynovitis
- arthralgia
- skin lesions
Disseminated gonococcal infection
A fever is often, but not invariably, present and it may be low-grade. Most patients have tenosynovitis and arthralgia with many having an acute asymmetric arthritis, usually of several joints, commonly the wrist, ankle, knee, or small joints. About two-thirds of patients have skin lesions, which typically are tender necrotic pustules on an erythematous base distributed towards the extremities but variations on this pattern can occur
Anal canal warts.
Genital herpes
genital herpes
Genital warts
Syphilis
LGV
genital herpes
Genital warts
Syphilis
LGV
genital herpes
Genital warts
Syphilis
LGV
Syphilis
Dx? [1]
Shingles
Secondary syphilis - alopecia
Sign present? [1]
Dx? [1]
Secondary syhpilis - snail sign
Dx? [1]
Shingles
Dx? [1]
Pearly penile papules - normal anatomy
Angiokeratoma
Abnormality of papillary dermal blood capillaries
Molluscum contagiosum
Pox virus
Pearly white, central umbilicus
Dx? [1]
Cervical wart – white staining indicates HPV presence
Primary syphilitic chancre
Vulval squamous cell carcinaoma on a background of lichen sclerosis
Lichen sclerosus – inflammatory condition that has flare episodes
Pallor, loss of architecture, skin splitting
Bartholin’s cyst
is a small fluid-filled sac just inside the opening of the vagina.
Fordyce spots
- Anatomical variant of normal – not a disease
Dx? [1]
Gonorrhoea
Microscopy of urethral smear showing gram negative intra-cellular diplococci in PMNLs
Dx? [1]
NSU – microscopy of urethral smear showing PMNLs
Ptx with HIV
Infection? [1]
CMV retinitis in HIV
White blobs – exudates and infarction
Red – haemorrhage
Ptx with HIV
Dx? [1]
Oral hairy leukoplakia
- note its on side of the mouth
Ptx with HIV
Dx? [1]
Pathogen causing this? [1]
Progressive Multifocal Leukoencephalopathy (PML)
Multiple areas of white matter signals – demyelination
Due to JC virus infection in HIV
Ptx has HIV
Dx? [1]
Oral/oesophageal candidiasis in HIV
Ptx has HIV
Name this stain used
What pathogen does it show? [1]
How would you expect this clinically manifest? [1]
Positive India ink stain on CSF sample
Cryptococcus neoformans infection in HIV
- commonly presents as a subacute meningitis or meningoencephalitis with fever, malaise, and headache slowly developing over many weeks, with a median onset of 2 weeks after infection.
Ptx has HIV
Dx? [1]
What is the key DDx and how do you tell the difference? [3]
Toxoplasmosis in HIV
- Ring-enhancing lesions
- Primary CNS lymphoma typically demonstrates subependymal spread, whereas toxoplasmosis tends to be scattered through the basal ganglia and at the corticomedullary junction 1
- Toxoplasmosis normally has multiple lesions c.f. lymphoma
- ring or nodular enhancement
Dx? [1]
Describe the lesions [1]
Kaposi’s sarcoma
Indurated, non-tender lesions
Firm to palpate
CNS lymphoma – EBV in HIV
Single, non-contrast enhancing lesion
Speculum examination reveals…? [1]
Trichomonas vaginalis
- abnormal vaginal discharge that may be thick, thin or frothy and yellow-green in colour
Speculum exam reveals..? [1]
Dx? [1]
Strawberry cervix – trichomonas vaginalis
Dx? [1]
Trichomonas vaginalis
name for the cell? [1]
Dx? [1]
Clue cell
BV
PMH: HIV.
Dx? [1]
Infection? [1]
epithelial keratitis
caused by occular HSV in IC patients
PMH of HIV.
Tx? [1]
Primary CNS lymphoma:
- whole brain irradiation (and commence cART)
CD4 < 50
Tx? [2]
Pyrimethiamine and Sulfadiazine for toxoplasmosis
