STIs and GI Flashcards
How are STIs transmitted?
Direct inoculation Sexual/genital secretions Ingestion Formites- objects which carry infection IVDU Trauma
Who most commonly gets STIs?
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Under 25s
people with multiple sexual partners
No condom use
Men who have sex with men
Past STI history
Large urban areas
Social depravation
Who gets rectal gonnhoroea?
Anal sex
Direct contact of mucosal surfaces with infected secretions spreads it
How does rectal gonorrhoea present ?
Low abdo pain Diarrhoea Rectal bleeding Anal discharge Tenesmus May be asymptomatic
Incubation period of rectal gonorrhoea?
5-10 days
Diagnosis of rectal gonorrhoea?
Examination Gram stain of discharges PCR Gonorrhoea cultures Comprehensive STI testing
Complications of rectal gonorrhoea?
Abscess formation increased
Who gets rectal chlamydia?
Transmitted via direct contact of mucosal surfaces with infected secretions.
Anal sex
How does rectal chlamydia present?
70% asymptomatic Milder than gonorrhoea Anal discharge Anal itch/discomfort Rectal bleeding Change in bowel habit Low abdominal pain Associated genito-urinary symptoms
How is rectal chlamydia diagnosed?
Examination Gram stain of discharges PCR Gonorrhoea cultures Comprehensive STI testing
How is rectal chlamydia treated?
Doxycycline 1 week course
Who gets lymphogranuloma venereum?
Often HIV positive men who have sex with men
Associated with syphillis, Hep C, drug use and group sex
How does lymphogranuloma venereum present?
Ulcer within 1 month
Inguinal syndrome & anorectal syndrome
Strictures, fistulae and genital elephantiasis
How is lymphogranuloma venereum diagnosed?
MSM with haemorrhagic proctitis
HIV + MSM with +ve rectal chlamydia
Suspicious ulcers in MSM
Failed chlamydia test of cure
Presentation of primary syphillis?
Solitary painless ulcer
