Sexually transmitted diseases (STIs) Flashcards

1
Q

define rectal gonorrhoea

A

infection with neisseria gonorrhoea

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2
Q

presentation of rectal gonorrhoea

A
low abdominal pain
diarrhoea (blood and mucus)
tenesmus
urethral discharge
can be asymptomatic
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3
Q

diagnosis of rectal gonorrhoea

A

proctoscopy, gram stain, PCR

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4
Q

management of rectal gonorrhoea

A

antibiotics

public health interventions

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5
Q

define rectal chlamydia

A

this is an infection with chlamydia trachomatis

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6
Q

presentation of rectal chlamydia

A
asymptomatic
itch
discomfort 
discharge
milder than gonorrhoea
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7
Q

diagnosis of rectal chlamydia

A

proctoscopy
gram stain
PCR

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8
Q

management of rectal chlamydia

A

doxycycline and public health interventions

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9
Q

define lymphogranuloma venereum

A

infection with chlamydia that infects the lymph nodes

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10
Q

presentation of lymphogranuloma venereum

A
ulcers
inguinal syndrome
strictures
fistulas
genital elephantiasis
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11
Q

diagnosis of lymphogranuloma venereum

A

MSM with haemorrhagic proctitis

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12
Q

what should everyone with lymphogranuloma venereum be tested for?

A

HIV
hep C
syphilis

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13
Q

define syphilis

A

multisystem STI

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14
Q

presentation of syphilis

A

ulcers
systemic inflammation
hepatitis
proctoscopy-colitis

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15
Q

diagnosis of syphilis

A

swab
microscopy
bloods

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16
Q

management of syphilis

A

benzathine benzylpenicillin

17
Q

presentation of herpes simplex virus

A

virus symptoms with ulcers, painful defecation, PR bleeding and mucus

18
Q

diagnosis of herpes simplex virus

A

culture
PCR
serology for gG1 and gG2

19
Q

management of herpes simplex virus

A

IV acyclovir

20
Q

human papilloma virus (HPV)

A

infection with HPV6, 11, 16 or 18

21
Q

presentation of HPV

A

anal warts (risk of cancer development)

22
Q

diagnosis of HPV

A

Pap test and DNA

23
Q

management of HPV

A

vaccine

salicyclic acid