Termination Flashcards
methods of termination ?
medical/surgical
early/late/mid trimester?
early – up to 9 weeks, mid trimester - 9-12 weeks - late 12-24 weeks
when can you do a vacuum aspiration?
6-13 weeks
What does a medical top consist of?
1) oral mifepristone
2) 24-48 hours later - vaginal prostaglandin
what do vaginal prostalandins do?
induce labour
why does chllamydia not stain gram stain?
no peptidoglycan in cell wall
how does chlamydia cause infertility and increase risk of ectopic pregnancy?
y
post coital/intermenstrual bleeding, lower abdominal pain, dyspareunia, macro purulent cervicitis - female
y
presentation of chlamydia in a male?
urethral discharge, dysuria, urethritis, epididimo orchitis
what complications can you get from chlamydia?
conjunctivitis, tubal damage, chronic pelvic pain, sexually acquired reactive arthritis
when do you test for chlamydia?
2 weeks (14 days) after exposure
“strawberry cervix”
trichomonas vaginalis
what is the incubation period of gonorrhoea?
2-5days
what is an incubation period?
time between catching an infection and symptoms arising
what percentage of males get urethral discharge in gonorrhoea?
80%, also dysuria and pharyngeal/rectal infections
what is the best diagnosis?
NAAT
how is syphillis transmitted?
sexual contact
how else could you get it
transplacental during birth or blood transfusio. also non sexual contact
what happens in 2y syhillis?
high circulating bacteria in blood with manifestations. lesions on mucous membranes, generalised lymphadenopathy, alopecia
treatment of syphillis?
injectable long acting penicillin
genital herpes- describe virus?
enveloped dsDNA
which one causes cold sores?
HSV type 1
how is it spread?
oral/genital or genital genital contact
how do you test for it?
swab deroofed blister
can you get discharge with it?
yes, can get vaginal/urethral discharge
what other symptoms can you get?
fever, myalgia, llocal lymphadenopathy
recurrent episodes more common with?
HSV2
how long would genital herpes last?
14-21 days (2-33 weeks)
if it is very painful, what ointment can you give?
lidocaine
Human papilloma virus, how many types are there?
more than 170
warts
6 and 11
cervical cancer ?
16 and 18
treatment for genital warts?
cryotherapy, podophylotoxin, imiquimod
incubation period of genital warts?
3 weeks - 9 months
what is imiquimod?
an immune modifier
