STIs Flashcards
Candida/thrush symptoms?
red sore vulva, itchy white vaginal discharge
Candia test?
high vaginal swab for C. albicans, budding seen on gram film
Treatment of candida?
oral fluconazole
topical clortimazole
Watery, fishy discharge?
Bacterial Vaginosis
High vaginal swab shows what in BV?
CLUE CELLS
Treatment of BV?
oral metronidazole
Treatment of trichomonas vaginalis?
oral metronidazole
What type of infection is trichomonas?
protazoa
Strawberry cervis?
trichomonas
Symptoms of trichomonas?
discharge, irritation
Treatment of pubic lice?
malathion lotion
Commonest viral STI?
genital warts (HPV, most often 6 and 11)
Treatment of genital warts?
cryotherapy, lotion
What causes genital herpes?
Herpes Simplex Virus 1 and 2
Which type of HSV, 1 or 2, is recurrent?
2
Treatment of HSV?
aciclovir and analgesia
Test for HSV?
PCR of deroofed blister
Does chlamydia gram stain?
no
Chlamydia types related to eye?
A-C
Chlamydia types related to genital?
D-K
Chlamydia types related to MSM?
L1-L3
Female symptoms of chlamydia?
post coital/ intermenstrual bleeding
lower abdo pain
dyspareunia
Tests will reveal chlamydia when after exposure?
14 days
Test for males chlamydia?
first past urine
Test for females chlamydia?
high vaginal swab
Treatment for chlamydia?
1g azithromycin
If MSM, Doxycycline 100mg BD for 1 week
Syphilis treatment?
penicillin
Spirocheates on microscopy?
syphilis
Is male to female risk or female to male risk high in gonorrhea?
male to female risk higher
Who are more likely to have symptoms in gonorrhea?
men e.g. discharge, dysuria
What does gonorrhea look like on culture?
2 kidney beans
Tests for gonorrhea?
males - first past urine
females - high vaginal swab
(Same as chlamydia)
Treatment of gonorrhea?
IM ceftriaxone AND oral azithromycin
Second line for gonorrhea treatment?
cefixime
What must be done after gonorrhea treatment?
Test of cure
What is more common, HIV 1 or 2?
1
What type of infections does HIV cause increased susceptibility to?
viral, fungal, mycobacterial
NOT BACTERIAL
When is there a very high risk of HIV transmission?
2-4 weeks post infection,
Survival of HIV without treatment?
9-11 years
Treatment of HIV?
3 drugs from at least 2 classes eg tenofovir, emtricitbine and efavirez