Topical GI and STI's Flashcards
how is acute traveller’s diarrhoea described
3 loose stools in 24 hours when travelling with low levels of fever
what normally causes traveller’s diarrhoea
E. coli
where do you typically get enteric fever and what causes it
India and SE fever, typhoid or paratyphoid caused by salmonella
what symptoms are associated with enteric fever
headache, dry cough, constipation/ diarrhoea
if patient unstable with enteric what antibiotic do you give
ceftriaxone
what is a cause of prehepatic fever and jaundice
malaria, HUS, sickle cell
what can cause hepatic liver disease
Hep A-E, leptosprosis, malaria, enteric fever
what investigations would you do for malaria
blood film
what causes ameobiasis
faecal-oral spread, protozoa
what are the symptoms of ameobiasos
abdo pain, fever, bloody diarrhoea, fever, sweats, tender liver (stool microscopy)
what antibiotics are given to ameobioasis
metronidazole
what is giardiasis
giardia intestinalins, invades duodenum causing watery diarrhoea, bloating and abdo cramps (stool microscopy)
what parasites are common
worms, round worms, flukes, tape worms (stool microscopy)
what causes gonorrhoea
neisseria gonorrhoea
how can you get gonorrhoea
direct contact of mucosal surfaces with infective secretions
where can gonorrhea affect
mouth, anus, vagina
what are symptoms of gonorrhea
pus from anal/ urethral discharge, low abdo pain, diarrhoea +/- bleeding
how would you identify gonorrhea
proctoscopy, cultures , PCR
what gives chlamydia
Chlamydia trachomatis
what are symptoms of chlamydia
anal itch/ discomfort but 70% asymptomatic
what are the investigations of chlamydia
proctoscopy, bloods PCR
how is chlamydia spread
same as gonnorhea
what areas does syphilis affect
everywhere - liver, brain, mouth, anus
what are symptoms of syphilis
lone painless ulcers on genitals, anus, mouth, rashes and swollen glands
