Genitourinary 🚽 Flashcards
Clinical features of bacterial vaginosis
Increased vaginal discharge
Grey white watery discharge
Characteristic fishy smelling discharge particularly after intercourse
Mx of bacterial vaginosis
Metronidazole or clindamycin
How to diagnose genital herpes
Swab from base of ulcer and analyse using nucleic acid amplification tests
Mx of genital herpes
Oral antivirals
Aciclovir
Valaciclovir
Famciclovir
When can a Vaginal delivery be recommended for a woman with HIV
If her viral load is less than 50
If it’s more then an elective caesarean is recommended
What is CMV retinitis
Most common ocular opportunistic infection
How does cmv present
Reduced visual acuity
On fundoscopy there may be a “pizza pie” appearance
How to treat cmv retinitis
Intraocular injections of gamciclovir and systemic oral valganciclovir
What can cervical excitation indicate
pelvic pathology classically present in PID or ectopic pregnancy
What is Fitz-Hugh Curtis syndrome
When PID causes perihepatic inflammation leading to RUQ pain and/or referred shoulder tip pain
What is pneumocystis pneumonia
Infection with the fungus pneumocystis Jiroveci
Common presentation associated with individuals with HIV who are non compliant with their medication
First line treatment for pneumocystis pneumonia
Co-Trimoxazole
Trichomonas Infection is caused by?
Trichomonas vaginalis - a flagellated protozoan
Mx of Trichomonas
Oral metronidazole
What is gonorrhoea caused by (bacteria)
Neisseria gonorrhoea gram negative diplococcus
