STIs Flashcards
Strawberry cervix and foul smelling yellow/green discharge
spot diagnosis
Trichomonas vaginalis
Trichomonas vaginalis management
oral metronidazole
diagnosis of trichomonas vaginalis
wet mount microscopy-
mobile trophozoites
How long after treatment is test of cure for chlamydia and gonorrhoea
two weeks
incubation time for chlamydia
7-21 days
incubation time for gonorrhoea
2-8 days typically
chlamydia vs gonorrhoea on gram stain
gonorrhoea is gram negative diplococci which can be seen on gram stain
chlamydia is intra-cellular and cant be seen on standard gram stain
Best investigation for GC/CT
(and sample sites in men and women)
NAAT
vulvovaginal 1st line in women
FVU in men
(i think you would do swabs for culture anyway to see if you can see gonorrhoea)
1st line treatment for chlamydia
doxycycline
1st line treatment for gonorrhoea
IM ceftriaxone 1g
2nd line (for needle phobics) 400mg cefixime and 2g azythromycin
test of cure required in CT/GC?
Yes! 2 weeks after
GC disease is often resistant so need to test cure
What pathogens cause lymphogranuloma vereneum
Chlamydia trachomatic serovards L1,2,3
What should be your first thought if someone presents with lymphogranuloma vereneum
test for HIV!
How does lymphogranuloma vereneum present
painful inguinal lymphadenopathy
small painless pustule which turns into ulcer
proctocolitis
How does syphilis initially present
painless genital ulcer (chancre)
