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GUM Flashcards

(43 cards)

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1
Q

How might chlamydia present?

A
  • Urethral/ cervical discharge (white/ yellow/ grey, may have a smell)
  • Bleeding
  • Dysuria
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2
Q

How is chlamydia diagnosed?

A

NAAT on first pass urine (males) or vulvovaginal swab (females)

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3
Q

How is chlamydia managed? (Normally vs if pregnant)

A

Doxycycline 7 days

1g stat azithromycin if pregnant

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4
Q

What is the characteristic discharge in BV?

A

Thin, grey, ‘fishy’ smell

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5
Q

What 3 findings are used in the diagnosis of BV?

A

Vaginal pH > 4.5
Positive whiff test
Stippled vaginal epithelial cells on microscopy

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6
Q

What organisms cause BV?

A

Anaerobic organisms such as Garnerella vaginalis

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7
Q

How is BV managed?

A

Oral metronidazole for 5-7 days

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8
Q

What is the characteristic discharge in trichomoniasis?

A

Offensive, yellow/ green, frothy

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9
Q

What symptoms (other than discharge) are involved in trichomoniasis?

A

Strawberry cervix, vulvovaginitis

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10
Q

What 2 findings can diagnose trichomoniasis?

A

Vaginal pH < 4.5
Wet mount microscope shows motile trophozoites

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11
Q

How is trichomoniasis managed?

A

Oral metronidazole 5-7 days or 2g stat

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12
Q

What is the characteristic discharge in bacterial candidiasis (thrush)?

A

‘Cottage cheese’

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13
Q

What symptoms other than discharge can thrush present with?

A

Dyspareunia
Dysuria
Itch

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14
Q

How is Candida managed?

A

Oral fluconazole 150mg stat

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15
Q

How does gonorrhoea present in males vs females?

A

Males - dysuria, urethral discharge, epididymitis,
Females - dysuria, discharge (from cervicitis)

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16
Q

What is the discharge like in gonorrhoea?

A

Thick yellow/ green

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17
Q

What organism causes gonorrhoea?

A

Neisseria gonorrhoeae (a gram-negative diplococci)

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18
Q

How is gonorrhoea managed?

Study These Flashcards
A

Ceftriaxone 1g IM

19
Q

How does genital herpes present?

Study These Flashcards
A
  • Painful genital ulceration
  • Tender inguinal lymph nodes
20
Q

How is genital herpes diagnosed?

Study These Flashcards
A

NAAT, HSV serology

21
Q

How is genital herpes managed?

Study These Flashcards
A
  • Supportive management (e.g. analgesia and saline bathing)
  • Oral aciclovir
22
Q

How does syphilis present?

Study These Flashcards
A
  • Chancre - painless ulcer at site
  • Local non-tender lymphadenopathy
23
Q

What organism causes syphilis?

Study These Flashcards
A

Treponema pallidum (a spirochaete)

24
Q

How is syphilis managed?

Study These Flashcards
A

IM benzathin benzylpenicillin

25
Which infection causes a white/ yellow smelly discharge, vaginal/ urethral bleeding and dysuria?
Chlamydia
26
Which infection causes a thin, grey, 'fishy' smelling discharge?
Bacterial vaginosis
27
Which infection causes an offensive frothy discharge that's yellow or green in colour?
Trichomoniasis
28
Which infection has a classical 'cottage cheese' discharge?
Candida
29
Which infection causes a thick yellow/ green discharge?
Gonorrhoea
30
Which infection can cause a strawberry cervix?
Trichomoniasis
31
Which infection can present with dyspareunia, dysuria and an itch?
Candida
32
Which infection can present with epididymitis in males?
Gonorrhoea
33
Which infection would show stippled vaginal epithelial cells on microscopy and a vaginal pH of >4.5
Bacterial vaginosis
34
Which infection would show motile trophozoites on a wet mount microscopy and a vaginal pH of >4.5
Trichomoniasis
35
Which infection is caused by anaerobic organisms such as Gardnerella vaginalis?
Bacterial vaginosis
36
Which infection is caused by spirochaete such as Treponema pallidum?
Syphilis
37
Which infection is managed with 7 days of doxycycline (or stat azithromycin if pregnant)?
Chlamydia
38
Which infection is managed with 5-7 days of oral metronidazole?
Bacterial vaginosis
39
Which infection can be managed with oral metronidazole either for 5-7 days or a 2g stat dose?
Trichomoniasis
40
Which infection is managed with oral fluconazole or PV clotromazole?
Candida
41
Which infection is managed with a single dose of IM ceftriaxone?
Gonorrhoea
42
Which infection can be managed supportively or with oral aciclovir?
Genital herpes
43
Which infection is managed with IM benzathine benzylpenicillin?
Syphilis

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