Year 3: Sexual Health and Reproduction Flashcards Preview

Finals Club (Dundee Medicine Master Summary Deck) > Year 3: Sexual Health and Reproduction > Flashcards

Flashcards in Year 3: Sexual Health and Reproduction Deck (403)
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1

Presentation of Chlamydia

Female: 

  • 70% Asymptomatic 
  • Dyspareunia 
  • Bleeding post sex
  • Watery clear discharge

Male: 

  • 50% asymptomatic 
  • Dysuria 
  • Discharge 
  • Epididymitis 

2

Chlamydia trachomatis 

 

Chlamydia 

3

Serovers A-C for chlamydia 

Eye trachomatis 

4

Serovers D-K for chlamydia 

Genital Chlamydia 

"D-K for dick"

5

Serovers L1-L3 for chlamydia 

LGV lymph: Lymphogranuloma venereum 

6

Chlamydia typically affects ages 

20-24

7

Test for chlamydia after 

14 days since exposure 

8

Investigations for chlamydia 

Combined: Nucleic Acid Amplification Test (NAAT)/ PCR

  • Male: First pass urine
  • Female: Vaginal swab 

9

Treatment for Chlamydia 

  • Doxycycline (7 days) Twice per day

Pregnant: Azithromycin 

10

Presentation for Gonorrhoea 

Females:

  • 50% asymptomatic 
  • Vaginal discharge (green pus)
  • Dysuria 
  • Pelvic pain

Males: 

  • Purluent discharge (green)
  • Dysuria

11

Neisseria Gonorrhea 

Gram-negative (2 kidney beans facing eachother)

Gonorrhea 

12

Investigations for Gonorrhea

Combined: Nucleic Acid Amplification Test (NAAT)/ PCR

Male: First pass urine

Female: Vaginal swab 

MSM: Rectal swab

13

Treatment for Gonorrhea

Ceftriaxone IM

If refused: Cefixime

14

Primary Syphilis 

Chancre (painless ulcer at site of infection)

15

Secondary Syphilis 

  • Macules on hands and soles 
  • Snail track ulcers

16

Latent Syphilis 

No symptoms

17

Tertiary Syphilis 

CVS and CNS effects "Neurosyphilis" etc

18

Treponema Pallidum 

Spiral organism, 21 days incubation

Syphilis organism 

19

Investigations for Syphilis 

  • Swab of a lesion: PCR/ dark film microscopy 
  • ELISA (IgM, IgG) + TPPA- to diagnose 
  • VRDL + RPR- how active disease is

 

20

Treatment for Syphilis 

Penicillin G (IM)

21

Herpes Simplex Virus (HSV) causes 

            Enveloped shaped virus, migrates to sacral root ganglion to hide

Herpes 

22

Herpes presentation

Painful blisters and ulcers 

Lymphadenopathy 

Fever

23

Type 1 HSV causes

Cold sores 

24

Type 2 HSV causes

Genital Herpes

25

Investigations for Herpes

Swab and PCR

26

Treatment for Herpes

Aciclovir 

5% topical lignocaine 

27

Human Papilloma Virus (HPV) 1 and 2 cause

 

Palmer warts 

28

Human Papilloma Virus (HPV) 6 and 11 cause 

Anogenital warts 

- "thickened cauliflower epithelium"

29

Human Papilloma Virus (HPV) 16 and 18 cause

Cervical cancer

30

Vaccinations for HPV 

Gardasil: 6, 11, 16, 18

  • Females 11-13 
  • MSM