STIs Flashcards
What are the symptoms of Chlamydia?
In men: white, cloudy penile discharge, pain when passing urine and in testicles. In women: vaginal discharge, itchy/sore vulva, pain passing urine/abdominal pain, irregular menstrual bleeding and bleeding after sex. In both genders infection in the eyes can cause pain, swelling, irritation and discharge
What is the treatment for Chlamydia?
7 days doxycycline 100mg BD / Azithromycin 1g stat then 500mg 2/7
What are the symptoms of Gonorrhoea (Gonococcal urethritis)?
In men: urethritis, dysuria, white/yellow/green discharge, inflamed foreskin, infection of testicles & epididymides. In women: infection of cervix causing thin or watery vaginal discharge, usually white, yellow or green, dysuria, infection in uterus and fallopian tubes
What is the treatment of Gonorrhoea?
Ceftriaxone, 1g IM as single dose
What are the symptoms of Non gonococcal urethritis?
dysuria, penile tip irritation, clear/creamy/yellow discharge from penis but symptom free
What is the treatment for non gonococcal urethritis?
7 days doxycycline 100mg BD
What are the symptoms of Bacterial vaginosis?
sometimes symptom free but otherwise, grey-white discharge with offensive fishy smell
What is the treatment for Bacterial vaginosis?
Metronidazole & Clindamycin oral or as an intravaginal gel
What are the symptoms of Trichomoniasis?
yellow frothy discharge, itchy and sore vulva, dysuria and pain during sex
What is the treatment for Trichomoniasis?
Metronidazole single dose or twice daily for 7 days
What are the symptoms of Genital Herpes?
Both forms can mouth/nose/anus/genitals/fingers/hands. Tingling sensation followed by small fluid filled blisters which burst to reveal ulcers. Sometimes flu like symptoms
What is the treatment of Genital herpes?
oral acyclovir as soon as prodromal symptoms start, topical 5% acyclovir cream applied 5 times a day for 5 days. May need prophylactic treatment
What are the symptoms of Syphilis?
First 90 days post infection: painless ulcer at site of infection (chancre), lymphadenopathy. 4-10 week post infection: non irritating rash on chest, back palms and soles of feet, hoarseness, lymph node enlargement, sometimes wart like growths around genitals. 3-15 years post infection: neurological disease, CVD, Gummas (soft, tumor like balls) and congenital syphilis
What is the treatment of Syphilis?
for early/incubating syphilis: IM Benzathine penicillin G or procaine penicillin G. Late/latent syphilis: IM Benzathine penicillin G weekly for 2 weeks or Procaine Penicillin G IM for 17 days. If penicillin allergy then Doxycycline 14 days for early and 28 days for late syphilis
What are the symptoms of Ano-genital warts?
smooth flat bumps or large cauliflower like lumps, painless but itchy
