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Flashcards in Sexual infection Deck (21)
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1

List the different types of triple swabs and what infections they look for

Vagina
High cervical swab

Chlamydia
Gonorrhoea
Bacterial vaginosis
Candida

2

Risk factors of STD's

Multiple or new partner(s)
No barrier contraceptives used
Previous or current STI
Partner has an STI
25 or younger
Sex worker

3

Discuss the causes, features and treatment of thrush

Causes
- C.Albicans
- C.Glabrata

Features
- Red
- Fissured
- Sore ( especially in allergic component)
- Discharge ( white, non offensive )

Treatment
- Clotrimazole 500mg pessary + cream
- Fluconazole 150mg

4

Risk factors for thrush

Pregnancy
Contraception
Steriods
Immunodeficiencies
Antibiotics
Diabetes (check glucose)

5

Clinical features of chlamydia

TRIAD
1. Cervical excitation
2. Lower ado pain
3. Adnexal tenderness

Asymptomatic
- Dysuria
- Vaginal discharge
- Intremenstural bleeding
- Post coital bleeding

Diagnosis: high end cervical swab, nucleic acid amplification test (NAAT)

6

What is the national chlamydia screening programme

Screening for chlamydia in all sexual activity people especially under the age of 25
Resulted in <20% drop in the prevalence in <25yrs

7

Complications of chlamydia

Pelvic inflammatory disease
Perihepatitis (Fitz-Hugh-Curtis syndrome)
Reiter's syndrome

8

Treatment of chlamydia

Azithromycin 1g (single dose)
Doxycycline 100mg BD ( 7 days)

Pregnancy
-Erythromycin 500mg BD 10-14 days

9

Clinical features and diagnosis of bacterial vaginosis

Fishy odour discharge
Vaginal pH >4.5

Epithelial cells clue cells are seen on microscopy
Altered bacterial flora ( too many bacteroides not enough lactobacilli)

10

Risks associated with BV

Preterm labour
Intra-amniotic infection during pregnancy
Post termination sepsis

11

Treatment of BV

Metronidazole 2g PO
Balance Activ ( pH balancer for a more natural approach)

12

Discuss the causes, clinical and microscopic features of trichomoniasis

Cause
- Trichomonas vaginalis

Clinical features
- Vaginitis
- Bubbly thin fishy diacharge ( FISHY AND FROTHY)

Microscopic
- Cervix will have a strawberry appearance
- Must exclude gonorrhoea ( can co-exist)
- Motile flagellates exist on films

13

Treatment of trichomoniasis

Must treat partner too
Metronidazole 2g (STAT)
Pregnancy 400mg/12hr 5 days

14

Discuss the causes and the clinical features of gonorrhoea

Neisseria gonorrhoeae ( Gram -ve diplococcus)

Clinical features
- Asymptomatic
- Lower ado pain
- Vaginal discharge
- Intermenstural/ post coital bleeding
-

15

Complications of Gonorrhoea

PID
Bartholin's/ Skenes abscess
Tubal infertility
Increased risk of ectopic pregnancy

Disseminated gonorrhoea
- Fever
- Pustular rash
- Polyarthralgia
- Septic arthritis

16

Treatment of gonorrhoea

Ceftriaxone 500mg IM STAT + Azithromycin 1g PO STAT

Pregnancy
Same treatment as above
If untreated
- PROM
- Preterm delivery
- Chorioamnionitis
- Ophthalmia neonatarum

17

Clinical features of herpes simplex

Recurrent genital or perioral infection
Preceeded by feelings of burning and itching

Signs
- Grouped painful vesicles on erythematous base heal without scarring
- Fever
- Myalgia
- Lymphoedema

18

Treatment of herpes simplex

Oral infections: allow to resolve alone

Genital
- Oral aciclovir (200mg 5 days)
- Hygiene measures
- Abstain from sex until the lesions are cleared

19

Clinical features of genital warts

Sexually transmitted infections
WARTS ON GENITALS

20

Treatment of genital warts

Significant treatment failure and high relapse rate
Self applied imiquimod cream
Cryotherapy
Screen for other STD's

21

Clinical features of syphillis

Single painful lesion which erodes deeper into an ulcer

1 infection
- Chancre
- Lymphoedema
-