1. Chlamydia
1.1. THEORY
1.1.1. Chlamydia Trachomatis
1.1.1.1. Gram neg coccus
1.1.1.1.1. Intracellular parasite
1.1.1.1.2. 1-3 weeks incubation
1.1.1.1.3. Modes of infection
1.1.2. COMPLICATIONS
1.1.2.1. BOTH SEXES
1.1.2.1.1. Conjunctivitis, Proctitis
1.1.2.1.2. Reiter syndrome
1.1.2.2. MEN
1.1.2.2.1. Urethritis, Prostatitis, Epididymitis
1.1.2.3. WOMEN
1.1.2.3.1. Cervicitis, Endometritis, Salpingitis
1.1.2.3.2. INFERTILITY
1.1.2.4. CHILDREN
1.1.2.4.1. Pneumonia, Obstructive lung disease
1.2. CLINICAL
1.2.1. SYMTOMS
1.2.1.1. BOTH SEXES
1.2.1.1.1. Urethritis
1.2.1.1.2. About half have no symtoms!
1.2.1.2. MEN
1.2.1.2.1. 90% have microscopic urethritis
1.2.1.2.2. "Burning" miction - common!
1.2.1.3. WOMEN
1.2.1.3.1. Cervicitis with flux
1.2.2. REPORTING
1.2.2.1. According to Swedish Smittskyddslag.
1.2.2.2. Information to patient!
1.2.2.2.1. Its illegal to spread infections
1.2.2.3. Infection traceback
1.2.3. TREATMENT
1.2.3.1. Tetracycline (Doxyferm)
1.2.3.1.1. 7-10 days
1.2.3.2. No effect? Try a macrolide (Ery-Max)
1.2.3.3. Pregnant patient?
1.2.3.3.1. Amoxicillin 500mg x3 for 7 days
2. Other
2.1. Bacterial Vaginosis
2.2. Unspecified urethritis/cervicitis
2.3. Trichomonas vaginitis
3. HIV
4. READ ME!
5. Syphilis
5.1. THEORY
5.1.1. HISTORY
5.1.1.1. "The French disease"
5.1.1.1.1. In France: "The Italian disease"
5.1.1.2. 1500's: Outbreak in Europe
5.1.1.3. 1905: Treponema Pallidum is identified
5.1.1.4. 1906: Wasserman test is developed
5.1.1.5. 1943: Penicillin used for treatment
5.1.2. Treponema Pallidum
5.2. CLINICAL
5.2.1. STAGES:
5.2.1.1. Primary
5.2.1.1.1. The 2 first years after first infection!
5.2.1.2. Secondary
5.2.1.3. Late stages
5.2.1.3.1. "Healing" (60%) ←
5.2.1.3.2. Tertiary syphilis ←
6. To Dermatology Mindmap
7. About pictures!
8. Human Papilloma Virus
8.1. Condyloma
8.1.1. HPV 6 & 11
8.2. Cervical cancer
8.2.1. HPV 16 & 18
9. Gonorrea
9.1. THEORY
9.1.1. Neisseria gonorrhoeae
9.1.1.1. A diplococcus: grown in pairs
9.1.1.2. 2-7 days Incubation
9.1.1.3. Routes of infection
9.1.1.3.1. Intercourse, oral-genital contact
9.1.1.3.2. Mother->baby during birth
9.1.1.3.3. Unprotected intercourse --> 60% risk of infection!
9.2. CLINICAL
9.2.1. DIAGNOSTICS
9.2.1.1. Sampling
9.2.1.1.1. No urination during the last 2 hours!
9.2.1.1.2. MEN: urethral sample
9.2.1.1.3. WOMEN: urethral & cervical sample
9.2.2. TREATMENT
9.2.2.1. New node
9.2.3. MANIFESTATIONS
9.2.3.1. BOTH SEXES
9.2.3.1.1. Urethritis, Proctitis, Pharyngitis, Conjunctivitis
9.2.3.2. Men
9.2.3.2.1. Epididymitis, prostatitis
9.2.3.3. Women
9.2.3.3.1. Cervicitis, bartolinitis, endometritis, PID/salpingitis, perihepatitis
10. Basic testing
10.1. Wet smear!
10.1.1. Sample from urethra/cervix & vagina
10.1.1.1. For gonorrhoea and chlamydia, the cervix swab is placed in the urine sample.
10.2. Test for:
10.2.1. ALWAYS: Chlamydia, Gonorrea, Mycoplasma Genitalium
10.2.2. OPTIONAL: HIV, Hep B, Syphilis