STI booklet Flashcards
Here are the major STIs, match them with a causative organisms:
- Gonorrhoea
- Chlamydia
- Trichomoniasis
- Anogenital Warts
- Herpes
- Syphilis
- Neisseria Gonorrhoea
- Chlamydia Trachomatis
- Trichomonas Vaginalis
- HPV 6 & 11
- HSV 1 & 2
- Treponema Pallidum
Which STI is characterised by a thick yellow discharge along with IMB/PCB?
Gonorrhoea
You suspect gonorrhoea, how do you check?
Swab for culture, staining & NAAT
What Abx are used in treatment of Gonorrhoea?
Ceftriaxone & Azithromycin
Ceftriaxone also used for Neisseria Meningitidis
(Azithromycin also used for chlamydia)
What complications of gonorrhoea would you warn your patient about?
- PID
- Epidydimitis
Which STI is characterised by a watery discharge, dysuria & IMB/PCB?
Chlamydia
How do you confirm Chlamydia and treat it?
Swab or urine for NAAT
Azithromycin & Doxycyclin
What risks come with chlamydia infection?
- PID
- Epidydimitis
Infertility
Conjunctivitis
Reactive Arthritis (Reiter’s Syndrome)
Urethritis
Which STI is characterised by itching & burning sensation + vesicles & ulcers & dysuria?
Herpes
Can also cause inguinal lymphadenopathy
Flu like symptoms
Neuralgic back, pelvic & leg pain
How do we confirm Herpes and treat it?
Clinical diagnose +/- swab for PCR
Aciclovir + Lidocaine ointment
Which STI is characterised by thin green frothy discharge & foul smell?
Trichomoniasis
A parasitic infection
how do you confirm Trichomoniasis and treat it?
Vaginal Swab for PCR
Metronidazole (just like other parasitic infections e.g. Giardia Lamblia)
How do we diagnose and treat Anogenital warts?
Clinically but can biopsy if unsure
Imiquimod
Podophyllotoxin
Cryotherapy
Diathermy
Who gets Syphilis?
MSM
How do you spot syphilis?
Early you get a local ulcer
Secondary syphilis can cause rash, mucosal ulcer, neuro symptoms or alopecia
Tertitary can also neuro, CV or gum symptoms
How would you confirm and treat syphilis?
Clinical + Serology + PCR ulcer
Doxycycline or Benzyl Penicillin
Which non-STI genital problem is extremely common and associated with a watery grey/yellow fishy dischare=ge
Bacterial Vaginosis
How would you confirm and treat bacterial vaginosis?
Can do gram staining
Metronidazole (Oral/PV) and Clindamycin (PV)
What non-sti can cause itching with a thick cottage cheese discharge?
Vulvovaginal Candidiasis (Vaginal Thrush)
How do we confirm and treat Vaginal thrush?
Gram Stain, Culture & clinical exam
Azoles e.g. Fluconazole
Who gets vaginal thrush?
Risk Factors Include: DM Steroid Immunosuppression Pregnancy
But it can be any women of reproductive age
What does metronidazole treat?
- Bacterial Vaginosis (With clindamycin)
- Trichomoniasis
What does doxycycline treat?
Syphilis
Chlamydia (With Azithromycin)
What does Azithromycin treat?
Chlamydia (With doxycylcin)
Gonorrhoea (with ceftriaxone)
