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STIs - Coggle Diagram

- - - - Characterised by single papue which ulcerates to form a chancre
      - Moderate regional lymphadenopathy
    - - Widespread mucocutaneous rasha dn generalised lymphadenopathy
      - Can affect palms and soles, hair follicles, allopocia
    - - 1/3 untreated develop issues up to 40yrs after initial infection
    - - Late Neurological
      - Cardiovascular
      - Gummatous
  - - - 3 doses
- - - - Most SE and SP
      - Vulvovaginal swabs are specimen of choice in women
      - Endocervical swabs have been shown to tbe less sensititve than VVS and require a a speculum exam performed by HCP
  - - - C/i pregnancy
      - Azithromycin 1g orally as single dose followed by 500mg once dailu for two days
    - - Erythromycin ir ofloxacin
  - - - Pregnancy
      - Complicated infection IUD
      - Young person
      - Rectal infection
    - - 4 weeks after completion of antibiotics
- - - - Vulvitis, vaginitis
      - Strawberry cervix 2%
  - - - Metro 2g orally single dose - not rec
  - - - 4 weeks after tx
- - - - Painful ulceration
      - Dysuria
      - Vaginal / urethral discharge
    - - Fever
      - Myalgia
      - More common in primary infection
      - Prodrome
      - Rarely may be only indication of infex
    - - Bistering and ulceration of external genitalia or perianal region +/- cervix / rectum
      - Tender inguinal lymphadenitis , usually bilateral
      - Established infx - along same dermatome
  - - - Valaciclovir
      - Episodic or suppressive therapy
    - - NSAIDs
      - Topical lidocaine - instilagel
      - Rectal difene if rectal lesions
- - - - Epididymo-orchitis
      - Prostatitis
      - PID
        More likely to be febrile and unwell coma