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Flashcards in STI Deck (25):
1

Female presentation of chlamydia?

Post coital or intermenstrual bleeding

Lower abdo pain

Dyspareunia

Mucopurulent cervicitis

2

Male presentation of chlamydia?

Urethral discharge
Dysuria
Urethritis
Epididymo-orchitis

3

Complications of Chlamydia?

PID
Tubal damage
Chronic pelvic pain
Neonate transmission
Conjunctivitis
Reiters

4

Diagnosis of chlamydia?

Testing 14 days following exposure

NAAT- Females vulvovaginal swab
Males first void urine

MSM add rectal swab

5

Treatment of chlamydia?

Azithromycin 1g stat
Doxycycline 100mg BD for 1 week

6

What type of bacteria is chlamydia?

Gram negative

7

What type of bacteria is gonorrhoea?

Gram negative intracellular diplococcus

8

Incubation period of gonorrhoea

2-5 days

9

Male presentation of gonorrhoea?

<10% asymptomatic

Urethral discharge

Dysuria

Pharyngeal/rectal infections

10

Female presentation of gonorrhoea?

Asymptomatic up to 50%

Increased/altered vaginal discharge

Dysuria

Pelvic pain rarely

Pharyngeal and rectal infections

11

Complications of gonorrhoea?

Stricture
Abcess
PID
ABcess
Endometritis

12

Diagnosis of gonorrhoea?

Can use microscopy, culture or NAAT

NAAT most sensitive

13

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

14

Presentation of primary genital herpes?

Blistering and ulceration
Pain
Dysuria
Vag or urethral discharge
Local lymphadenopathy
Fever and myalgia

15

Symptoms of recurrent episodes?

Often misdiagnosed as thrush

Mild localised anogenital tingling or burning

Usually unilateral, blisters and ulcers

More common in HSV2

16

Management of herpes?

Swab base of ulcer of HSV PCR

Oral Aciclovir

Topical lidocaine

Saline bathing

Analgesia

17

How is HPV transmitted

Likely acquired from asymptomatic partner

18

Usual cause of anogenital warts (strain of HPV?)

6 and 11

19

Treatment of genital warts?

Podophyllotoxin- Cytotoxic, not for extragenital warts


Imiquimod- immune modifier, can be used on all

Cryotherapy

20

Causative organism syphillis?

Treponema pallidum

21

How is syphillis transmitted?

Sexual contact
Trans placental
Blood transfusion
Healthcare setting

22

What is a chancre?

A lesion in primary syphillis, appear at site of inoculation

23

Presentation of secondary syphillis?

Skin (rash on palms and soles)
Lesions of mucous membranes
Generalized lymphadenopathy
Patch alopecia
Condylomata lata

24

Diagnosis of syphillis?

Dark field microscopy
PCR
Serological testing for antibody

25

Treatment of syphillis?

2.4 MU Benzathine penicillin (3 times if late syphillis)

Serological follow up until RPR negative