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GI- Week 4 & 5 > STI's and the GI tract > Flashcards

STI's and the GI tract Flashcards

1
Q

How are infections transmitted during sex?

A
  1. Genital secretions
  2. Direct innoculation- HSV
  3. Trauma- Hep C
  4. Ingestion- Shigella
  5. Fomites- Gonorrhoea
  6. IVDU- Sex stimulating drugs-HIV,HVC
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2
Q

Risk factors for STI’s?

A
  1. <25yrs
  2. Change in sexual factor
  3. Non condom use
  4. Men with men
  5. Social deprivation
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3
Q

What parts of the GI tract can be affected by STI’s?

A
  1. Esophagus
  2. Stomach
  3. Colon
  4. Duodenum
  5. Small intestine
  6. Large intestine
  7. Rectum
  8. Anus
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4
Q

What common investigations would you undertake for STI’s?

A
  1. Procotoscopy
  2. Blood Culture-
  3. Blood tests
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5
Q

Rectal gonorrhoea is caused by which organism?

A

Neisseria Gonorrhoea

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6
Q

How is Gonorrhoea transmitted?

A

Direct contact of mucosal surfaces with infected secretions. For proctitis- anal sex, transmucosal spread, fomite.

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7
Q

Symptoms of Rectal Gonorrhoea?

A
  1. Short incubation- 5-10days
  2. Low abdo pain
  3. Diarrhoea
  4. Rectal bleeding
  5. Anal discharge
  6. Tenesmus

Proctoscopy- Inflammed mucosae, purulent exudate

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8
Q

Chlamydia is caused by which organism?

A

Chlamydia Trochomatis

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9
Q

Symptoms of Rectal chlamydia?

A
  1. 70% Asymptomatic
  2. Milder than gonorrhea- less purulent discharge
  3. Anal discomfort itch/discharge
    4.
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10
Q

What investigations would you do for Chlamydia?

A

Gram stain

Rectal swab

CT

NAAT

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11
Q

Syphilus is a multi-system disease. T/F?

A

True

Can affect

  1. Bowel- bloody stool, crampy pain.
  2. Skin rash
  3. Lymphadenopathy
  4. Uveitis.
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12
Q

What are some clinical presentations of Secondary syphilis?

A
  1. Mucosal patches and ulcers
  2. Mouth,anogenital, rectal, systemic inflammation
  3. Hepatitis
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13
Q

Two common ways of Herpes transmission?

A
  1. Ano-genital
  2. Oro-anal

Usually peri-anal mucosa but may extend into rectum

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14
Q

Symptoms of Herpes simplex virus?

A
  1. Painful ulcers
  2. Painful defacation
  3. Bleeding
  4. Mucus viraemic symptoms
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15
Q

Human papilloma virus commonly affects which areas? Usually causes what?

A
  1. Ano-genital
  2. Oro-anal

Causes Anal warts, can extend to rectum

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16
Q

What is LGV?

A

Lymphogranuloma Venerum- associated with group sex, drug use, Hep C, Syphilis

17
Q

Clinical features of LGV?

A
  1. Primary ulcer
  2. Secondary- inguinal syndrome, Ano-rectal syndrome
18
Q
A

GI- Week 4 & 5 (15 decks)

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