STIs and tropical diseases Flashcards
dysuria =
painful urination
pyuria =
pus in the urine
pneumaturia =
air bubbles in the urine
Hepatitis viruses that are STIs
Hep A, B and C
40% of people with gonorrhea also have ___
chlamydia
Tests for gonorrhea =
urethral swab - microscopy
blood culture
PCR
coffee bean shaped diplococci that is gram -ve
Neisseria gonorrhea
transmission of Neisseria gonorrhea and chlamydia trachomatis is by ___
direct contact of mucosa surfaces
Incubation period for gonorrhea =
treatment =
5-10 days
ceftriaxone 500mg IM immediately
doxycycline 100mg bds for a wk
Signs of gonorrhea (and chlamydia - but is milder)
low abdo pain rectal bleeding anal discharge tenesmus may lead to abscess and makes more susceptible to HIV
treatment for chlamydia trachomatis
azithromycin immediately
doxycycline for a wk
the mimicker disease
syphilis
primary presentation of syphilis =
2ndry=
solitary painless ulcer
2ndry - mucosal patches and ulcers in mouth, anogenital and rectal - raised edge and snail track
condylomata lata (rash between butt cheeks)
systemic inflam
may cause hepatitis
transmission of herpes simplex virus and HPV=
ano-genital/oro-anal
symptoms and signs of herpes simplex virus
pain, ulcers, painful defaecation, bleeding, mucus, viraemic symptoms
HPV signs=
genital/ anal warts, neoplasms
Lymphogranuloma venereum is spread by
men w men
group sex
drug use
syphilis and HIV associated
Primary 2ndry and tertiary presentation of lymphogranuloma venereum
1) ulcer (3-30 days)
2) inguinal and ano-rectal syndrome (3-6 months)
3) strictures, fistulae, genital elephantitis
If diagnosed with LGV should also test for
HIV, Hep. C, syphilis etc.
HIV needs ___ to get into blood
CD4+ T cells
HIV has a great effect on the GI tract because ___ presents with ___
GALT is largest immune compartment
diarrhoea
dysentery =
infection of intestines causing blood and mucus in diarrhoea
Salmonella typhi/paratyphi are common in ___ (geog)
India
SE Asia
Typhoid and parathyphoid patients must be ___
isolated
