Chlamydia Flashcards

1
Q

Risk Factors

A

Lack of barrier contraception
More than one partner
Partner positive for STI
Age <25

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2
Q

Presentation
Male symptoms as well
Examination

A

Dysuria, dyspareunia, discharge, pain, smelly odour
Post coital bleeding.

Men - Dysuria, pain, discharge, epididymitis, orchitis.

Cervical bleeding, pelvic tenderness, discharge.

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3
Q

Investigations

A

If severe, pelvic USS for things.
Vulvo-vaginal swab, NAAT for chlamydia, HIV, syphilis and gonorrhoea.
First catch urine sample.
Urine dip.

For men, first catch or external meatal swab.

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4
Q

Management

A

Azithromycin, 1g single dose.

Doxycycline 100mg tds 7 days.

If contraindicated, erythromycin.

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