STI's Flashcards
cottage cheese like discharge
thrush (candida albicans)
how is syphilis tested for?
serology - ELISA = screening test
syphilis - what test indicates disease activity?
RPR
Syphilis results - what does each mean
a) IgG
b) IgM
a) sign of past, treated infection OR late stage infection (only the latter will require tx)
b) active infection
syphilis tx
benzathine + penicillin
1 x in early infection
3 x in late infection
syphilis titres should decrease by ? fold by 3-6 months
4 fold
what is the bacterium that causes syphilis
treponema pallidum
name of the wart like lesions in syphilis
infectious or not?
condylomata lata
HIGHLY infectious
signs of secondary syphilis
patchy alopecia
wart like lesions on palms/soles
generalised lymphadenopathy
test used for T palladium specific antibodies
TPPA / VDRL
treatment of herpes in pregnancy
a) if everything is fine
b) in the case of preterm pre-labour rupture of membranes or a spontaneous vaginal delivery
a) oral acyclovir 400 mg tds until delivery
b) IV acyclovir for mother/infant
treatment of chlamydia
azithromycin single dose 1st line
doxycycline 7 day course 2nd line
milky urethral discharge
chlamydia
fitz high curtis syndrome
complication of chlamydia
piano string adhesions on surface of liver
gonorrhoea is a ..
gram -ve intracellular diplococcus
gonorrhoea incubation
2-5 days
gonorrhoea tx
ceftriaxone IM 500 mg + azithromycin 1g
cefixime 400mg is alternative to ceftriaxone
which requires test of cure -chlamydia or gonorrhoea?
gonorrhoea
genital herpes py infection incubation
3 - 6 days
prodrome to herpes
fever, myalgia
management of herpes
oral acyclovir 400 mg TDS - 5 days
topical lidocaine if painful
saline bathing
HPV incubation
3 w > 9m
treatment for HPV
1st line podophyllotoxin (warticon) - use up to 12 weeks then more to 2nd line if ineffective
2nd line - imiquimoid
what does HIV transcribe using
reverse transcriptase
