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Infection > STIs > Flashcards

STIs Flashcards

1
Q

What is the pathogen causing gonorrhoea?

A

Neiserria gonorrhoeae

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2
Q

What are the symptoms of gonorrhoea in men?

A
  • asymptomatic 10
  • thick profuse yellow discharge
  • dysuria
  • rectal, pharyngeal infection
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3
Q

What are the symptoms of gonorrhoea in women?

A
  • aymptomatic > 50%
  • vaginal discharge
  • dysuria
  • post-coital/intermenstrual bleeding
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4
Q

What are the complications of gonorrhoea in males?

A
  • epididymitis
  • acute monoarthritis
  • gonococcal infection
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5
Q

What are the complications of gonorrhoea in women?

A
  • PID
  • Bartholin’s abscess
  • acute monoarthritis
  • gonococcal infection
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6
Q

What are the investigations for gonorrhoea?

A
  • nucleic acid amplification test (NAAT)
  • urine/swab vagina/rectum/throat
  • gram stain smear
  • urethra/cervix.rectum
  • swab culture
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7
Q

What is the treatment for gonorrhoea?

A
  • ceftriaxone
  • 1g, im
  • test at 2 weeks + 3 months
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8
Q

What is the pathogen causing chlamydia?

A
  • chlamydia trachomatis serovars D-K
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9
Q

What are the symptoms of chlamydia in men?

A
  • asymptomatic > 70%
  • slight watery discharge
  • dysuria
  • conjunctivitis
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10
Q

What are the symptoms of chlamydia in women?

A
  • asymptomatic > 80%
  • vaginal disharge
  • dysuria
  • intermenstrual/post-coital bleeding
  • conjunctivitis
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11
Q

What are the complications of chlamydia in men?

A
  • epididymitis
  • reactive arthritis
  • Reiter’s syndrome
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12
Q

What are the complications of chlamydia in women?

A
  • PID -> ectopic pregnancy
  • pelvic pain
  • infertility
  • reactive arthritis
  • Reiter’s syndrome
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13
Q

What are the investigations for chlamydia?

A
  • NAAT
  • first void urine (men)
  • swab cervix/urethra/rectum
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14
Q

What is the treatment for chlamydia?

A
  • doxycycline
  • 100mg bd 1 week
  • azithromycin (if pregnant)
  • 1g po once
  • test 3-12 months
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15
Q

What is the pathogen causing herpes?

A
  • herpes cimplex virus 1 + 2
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16
Q

What are the symptoms of herpes?

A
  • aymptomatic 80%
  • curning/itching ->blistering -> tender ulceration
  • tender inguinal lymphadenopathy
  • flu-like symptoms
  • dysuria
  • neuralgic pain in back, legs, pelvis
17
Q

What are the complications of herpes?

A
  • autonomic neuropathy (urinary retention)
  • neonatal infection
  • secondary infection
18
Q

What are the investigations for herpes?

A
  • clincal diagnosis
  • PCR swab from lesion
19
Q

What is the treatment for herpes?

A

Primary outbreak:

  • aciclover
  • lidocaine ointment

Infrequent recurrences:

  • lidocaine ointment
  • aciclover

Frequent recurrences:

  • aciclover long term
20
Q

What is the pathogen causing trichomoniasis?

A
  • trichomonas vaginalis
21
Q

What are the symptoms of trichomoniasis?

A
  • usually asymptomatic
  • profuse, thin vaginal discharge
22
Q

What are the complications of trichomoniasis?

A
  • miscarriage
  • preterm labour
23
Q

What are the investigations for trichomoniasis?

A
  • PCR vaginal swab
  • microscopy of wet preparation of vaginal discharge
24
Q

What is the treatment for trichomoniasis?

A
  • metronidazole
25
Q

What is the pathogen causing anogenital warts?

A
  • HPV 6 + 11
26
Q

What are the symptoms of anogenital warts?

A
  • lumps- cauliflower texture
  • itching
  • bleeding
27
Q

What are the complications of anogenital warts?

A
  • neonatal laryngeal papillomatosis
28
Q

What are the investigations for anogenital warts?

A
  • clinical diagnosis
  • biopsy if unusual
29
Q

What is the treatment for anogenital warts?

A
  • podophyllotoxin
  • imiquimod
  • cryotherapy
  • diathermy
  • scissor removal
30
Q

What is the pathogen causing syphilis?

A
  • treponema pallidum
31
Q

What are the symptoms + stages of syphilis?

A
  • primary- local ulcer (chancre)
  • secondary- rash, mucosal ulceration, neuro, alopecia
  • early latent- asymptomatic (≤ 2 yrs)
  • late latent- asymptomatic (≥ 2 yrs)
  • tertiary- neuro, CVS, gummatous
32
Q

What are the complications of syphilis?

A
  • neurosyphilis
  • cranial nerve palsies
  • cardiac/aortic
  • congenital syphilis
33
Q

What are the investigations for syphilis?

A
  • clinical diagnosis
  • serology
  • TP, IgGEIA, TPPA, RPR
  • PCR on sample from ulcer
34
Q

What is the treatment for syphilis?

A

≤ 2 yrs, no neuro:

  • benzathine penicillin
  • doxycycline

≥ 2 yrs, no neuro:

  • benzathine penicillin
  • doxycycline

Infection (9 decks)

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