Sexual Health Flashcards
(15 cards)
What bacteria causes syphilis?
Treponema pallidum (spirochete)
Can syphilis be vertically transmitted?
yes, during pregnancy
What is primary syphilis?
chancre - painless ulcer at original site of infection
What is secondary syphilis?
systemic sx - esp skin and mucous membranes
What are the stages of syphilis?
- primary (3-8wks)
- secondary (3-12wks)
- latent (years)
- tertiary (organs)
- neurosyphilis
What is Argyll-Robertson pupil?
a specific finding in neurosyphilis
How is syphilis diagnosed/screened for?
antibody testing (for antibodies to T.pallidum
bacteria)
Treatment for syphilis
single IM dose of benzathine benzylpenicillin
What percentage of men and women are asx with gonorrhoea?
men = 90%
women = 50%
How does a genital gonorrhoea infection present in women? (3)
- odourless purulent discharge, possibly green/yellow
- dysuria
- pelvic pain
How does a genital gonorrhoea infection present in men?
- odourless purulent discharge, possibly green/yellow
- dysuria
- testicular pain or swelling (epididymo-orchitis)
How is gonorrhoea usually managed?
depends on local guidelines and if sensitivities are known
- single dose IM ceftriaxone (if unknown)
- single dose oral ciprofloxacin 500mg (if sensitivities are known)
Do gonorrhoea patients require a test of cure?
yes, due to high levels of abx resistance (when depends on method used)
What is disseminated gonococcal infection?
complication of untreated gonococcal infection, where the bacteria spreads to the skin and joints
What are the sx of disseminated gonococcal infection? (5)
- various non-specific skin lesions
- polyarthralgia
- migratory polyarthritis
- tenosynovitis
- systemic sx (fever, fatigue etc)
