STIs/Genital syndromes Flashcards

1
Q

What is the definition of a commensal microorganism?

A

A microorganism that derives food or other benefits from another microorganism without hurting or helping it

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2
Q

What is a pathogen?

A

A micro-organism that can cause disease

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3
Q

What is a sexually transmissable organism?

A

A virus, bacteria, protozoan, insect or arthropod which can be spread by sexual contact

  • Commensal
  • Pathogen
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4
Q

What is a sexually transmitted infection (STI)?

A

An infection by a pathogen which is sexually transmissible and which is unlikely to be transmitted by non-sexual means

eg Neisseria gonorrhoeae
HPV type 6

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5
Q

What is a sexually transmitted disease (STD)?

A

A disorder of structure or function caused by a sexually transmitted pathogen

  • Pelvic inflammatory disease
  • Genital warts
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6
Q

List some sexually transmitted bacteria

A
Syphilis (Treponema pallidum pallidum)
Gonorrhoea (Neisseria gonorhoeae
Chlamydia trachomatis
Klebsiella granulomatis
Mycoplasma genitalium
Chancroid (Haemophilus decreyi)
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7
Q

List some sexually transmitted viruses?

A

HSV
HIV
HPV
Molluscum conatagiosum virus

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8
Q

List some sexually transmitted parasites?

A

Pthirus pubis
Sarcoptes scabei
Trichomonas vaginalis

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9
Q

List some characterstics of STIs

A
  • Transmissable
  • Mostly asymptomatic
  • All manageable, not always curable
  • Avoidable
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10
Q

What are the implications around STIs?

A
  • Partner notification
  • Prevention from population
  • Treatment and prevention of complications
  • Primary prevention - education
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11
Q

Which STIs require only genital contact for transmission?

A
  • Pubic lice
  • Scabies
  • Warts (HPV 6+11)
  • Herpes (HSV 1 + 2)
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12
Q

Which STIs require group sex for transmission?

A

Hepatitis C

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13
Q

What are some systemic symptoms from STIs?

A
  • Fever
  • Rash
  • Lymphadenopathy
  • Malaise
  • Infertility
  • Cancer
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14
Q

Why are STIs important?

A
  • Cause morbidity and can kill
  • Unpleasant symptoms + psychological
  • Drain on resources
  • Common
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15
Q

What are possible reasons for number of STI diagnosis changing over time?

A
  • Change in number of cases (Different practices etc)

- Change in diagnosis, but no change in cases (More access, better testing)

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16
Q

What are the components of management of someone with an STI?

A
  • Good history
  • Partner notification
  • HIV testing
  • Health promotion
17
Q

List some components of risk assessment for a man for sexual health?

A
  • Sexual contact with a man?
  • Have you ever injected drugs?
  • Sexual contact with IVDU?
  • Sexual contact with someone from outside the UK?
  • Medical treatment outside the UK?
  • Involvement with the sex industry?
18
Q

What are some presenting complaints of genital symptoms?

A
  • Discharge from an orifice
  • Pain
  • Rashes
  • Lumps and swellings
  • Cuts, sores, ulcers
  • Itching
  • Change in appearance
  • Vague sense of things not being right
19
Q

What are potential causes of genital symptoms?

A

STD
Other microbial problem
Non-microbial health issues

20
Q

List some microbial genital conditions not considered STDs.

A
  • Vulvovaginal candidosis
  • Bacterial vaginosis
  • Balanoposthitis - anerobic/candidal
  • Tinea cruris
  • Erythasma
  • Infected sebaecous glands
  • Impetigo
  • Cellulitis
21
Q

What symptoms may present as perception of abnormality, with no clinical findings.

A
  • Vaginal discharge
  • Urethral discahrge
  • Dysuria
  • Genital/pelvic discomfort
  • Rashes
  • Skin lumps
  • Penis size, scrotal lumps, labial shape (If persistant - consider body dysmorphia)

Consider psychosocial problems in these cases

22
Q

What clinical genital findings are just physiological?

A

Fox-fordyce spots
Vulval papillomatosis
Pearly Penile Papules
Tyson’s glands

23
Q

What are some pain syndromes related to the genitals?

A

Vestibulodynia (Provoked introital tenderness)
Vulvodynia (Persistant burning/itching)
Chronic Pelvic Pain Syndrome

24
Q

What are some causes of genital symptoms that are non-microbial?

A
  • Pain syndromes
  • Dermatoses
  • Congenital
  • Traumatic
  • Neoplastic
  • Manifestations of systemic disease