STDs Flashcards
How is trichomonas vaginalis diagnosed?
Diagnosed by seeing motile organisms during microscopy
Features of trichomonas vaginalis?
What does it respond well to?
Single cell protozoan parasite
Infects vagina and urethra
Symptoms- dysuria, discharge
Cause frothy discharge and “strawberry cervix”
Responds well to metronidazole
Genital warts? Are cervical smears encouraged?
Extremely common
HPV 6 + 11
90% are these ones which are low risk so increased smears not recommended
Pearly penile papules
Normal anatomic variants in males
Fordyce spots
Normal anatomic variants in males
Vulval papules / papillomatosis
normal pearly papules in females
Genital enlarged sebaceous glands/warts
normal anatomic variants
What is the name for a fungal infection in male genital?
Tinea cruris
-dermatophyte
How can you differentiate between candida and scabies?
Candida is more global
Scabies is always sexually transmitted. T/F
F
also via skin to skin
Viral STI [4]
Herpes Warts/HPV HIV Hepatitis Mollluscum contagiosum
Bacterial/ protozoal STI [4]
Chlamydia
Gonorrhoea
Symphilis
Trichomonas vaginalis
Bacterial STI Presentation
- florid symptoms (redness)
- early presentation
- rapid diagnosis
- effective treatment available
- can cure
- reservoirs can be controlled
Viral STI presentation
- can be unaware of infection
- delayed presentation
- diagnostic tests can be unreliable
- symptomatic treatment only
- often life-long
- expanding reservoirs
What symptoms do Chlamydia and Gonorrhea commonly present with?
Dysuria
Discharge
What does primary syphilis look like?
1-3 wks after contact
red mark–raised spot–ulcer at site of contact
Enlarged lymph nodes in groin/neck
Syphilis
First stage - Primary Syphilis
- painless. can also have some enlarged glands
- may resolve in 2-8 wks
Secondary Stage
- lasts 2-4 weeks
- blotchy red rash, flu like symptoms
- systemic dissemination
- flu-like rashes
- mouth ulcers
- suspect if rash involves palms + sores
Herpes simplex virus
Symptoms
- painful ulceration, dysuria, vaginal discharge
- system symptoms e.g. fever and myalgia
Signs
- blistering + ulceration
- inguinal lymphadenopathy
Genital herpes- mainly HSV-2
HSV-1- cold sores but not always
What is candida/thrush?
Treatment
Non-STI
-fungal
symptomes- itchy, discharge, swelling
papular rash in males
Treatment- topical antifungals
Bacterial vaginosis
Non-STI
symptoms- discharge/ “fish” odor
- imbalance of vaginal flora
- overgrowth of anaerobes
- often result of over-washing/bubble baths etcs
responds to metronidazole
