STI Flashcards
(25 cards)
Female presentation of chlamydia?
Post coital or intermenstrual bleeding
Lower abdo pain
Dyspareunia
Mucopurulent cervicitis
Male presentation of chlamydia?
Urethral discharge
Dysuria
Urethritis
Epididymo-orchitis
Complications of Chlamydia?
PID Tubal damage Chronic pelvic pain Neonate transmission Conjunctivitis Reiters
Diagnosis of chlamydia?
Testing 14 days following exposure
NAAT- Females vulvovaginal swab
Males first void urine
MSM add rectal swab
Treatment of chlamydia?
Azithromycin 1g stat
Doxycycline 100mg BD for 1 week
What type of bacteria is chlamydia?
Gram negative
What type of bacteria is gonorrhoea?
Gram negative intracellular diplococcus
Incubation period of gonorrhoea
2-5 days
Male presentation of gonorrhoea?
<10% asymptomatic
Urethral discharge
Dysuria
Pharyngeal/rectal infections
Female presentation of gonorrhoea?
Asymptomatic up to 50%
Increased/altered vaginal discharge
Dysuria
Pelvic pain rarely
Pharyngeal and rectal infections
Complications of gonorrhoea?
Stricture Abcess PID ABcess Endometritis
Diagnosis of gonorrhoea?
Can use microscopy, culture or NAAT
NAAT most sensitive
Treatments of gonorrhoea?
1st line: IM Ceftriaxone 500mg
2nd line: Cefixime 400mg oral (only if 1st line refused or C/I)
Co treatment: Azithromycin 1g given at same time
Test for cure in everyone
Presentation of primary genital herpes?
Blistering and ulceration Pain Dysuria Vag or urethral discharge Local lymphadenopathy Fever and myalgia
Symptoms of recurrent episodes?
Often misdiagnosed as thrush
Mild localised anogenital tingling or burning
Usually unilateral, blisters and ulcers
More common in HSV2
Management of herpes?
Swab base of ulcer of HSV PCR
Oral Aciclovir
Topical lidocaine
Saline bathing
Analgesia
How is HPV transmitted
Likely acquired from asymptomatic partner
Usual cause of anogenital warts (strain of HPV?)
6 and 11
Treatment of genital warts?
Podophyllotoxin- Cytotoxic, not for extragenital warts
Imiquimod- immune modifier, can be used on all
Cryotherapy
Causative organism syphillis?
Treponema pallidum
How is syphillis transmitted?
Sexual contact
Trans placental
Blood transfusion
Healthcare setting
What is a chancre?
A lesion in primary syphillis, appear at site of inoculation
Presentation of secondary syphillis?
Skin (rash on palms and soles) Lesions of mucous membranes Generalized lymphadenopathy Patch alopecia Condylomata lata
Diagnosis of syphillis?
Dark field microscopy
PCR
Serological testing for antibody
