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Venkatesh Karthikeyan
III MBBS
Velammal Medical College
Email : 4852012@gmail.com
 Vulvar Infections
 Genital ulcers
 Mycoplasma Genitalium
 Vaginitis
 HIV
 Pediculosis Pubis
 Scabies
 Molluscum contagiosum
 Condylomata acuminata
 Transmitted by sexual contact and shared
towels.
 Clinical features : vulvar rash and itching
 Diagnosis : Lice and eggs can be found in the
pubic hair
 Treatment : Permethrin
 Transmitted through close contact or fomites
 Clinical features : Intense burning, itching
(severe at night), papules/vesicles/burrows
 Diagnosis : Microscopy
 Treatment : Premethrin
 Caused by pox virus
 Clinical features : Small domed vesicle with
central umblication. White waxy material can
be expressed out of it
 Diagnosis : Giemsa staining of the discharge
 Treatment : Evacuation of white material,
excision of the nodule, Monesel’s solution
 Aka veneral warts
 Caused by HPV
 Associated with vulval, vaginal and cervical
cancers
 Treatment : Podophyllin
 Caused by Haemophilus ducreyi
 Clinical features : Papule  Pustule  Ulcer
 Diagnosis : Gram staining showing
extracellular “school of fish”
 Treatment : Azihromycin
 Caused by Treponema pallidum
 Clinical features:
 Primary Syphilis – Hard chancre
 Secondary syphilis – Dissemination symptoms
 Tertiary syphilis –Neurosyphilis, cardiosyphilis,
gumma
 Treatment : Penicillin
 Caused by Neisseria Gonorrhoea
 Clinical features : Urinary frequency, dysuria,
dyspareunia, rectal discomfort, vaginal
discharge.
 Complication : PID, tubo – ovarian abscess,
pelvic abscess, hydrosalpinx formation,
infertility, menstural disturbances,etc
 Treatment : Ceftriaxone
 Caused by Chlamydia trachomatis
 Clinical features : Vaginal discharge, dysuria,
frequency of micturition, vaginitis, salphingitis,
infertility.
 Diagnosis : Fluorescein conjugated monoclonal
antibody in immunofluorescene tests on smear
from secretions
 Treatment : Tetracyclin and clindamycin
 Most common cause of pruritis vulvae
 Clinical features : Profuse, thin, creamy or
greeny and frothy discharge, strawberry
vagina
 Diagnosis : Wet film stained with Gram stain or
Leishman stain, culture
 Treatment : Metronidazole
Common Sexually transmitted diseases (STD)
Common Sexually transmitted diseases (STD)
Common Sexually transmitted diseases (STD)

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Common Sexually transmitted diseases (STD)

  • 1. Venkatesh Karthikeyan III MBBS Velammal Medical College Email : 4852012@gmail.com
  • 2.
  • 3.  Vulvar Infections  Genital ulcers  Mycoplasma Genitalium  Vaginitis  HIV
  • 4.  Pediculosis Pubis  Scabies  Molluscum contagiosum  Condylomata acuminata
  • 5.
  • 6.  Transmitted by sexual contact and shared towels.  Clinical features : vulvar rash and itching  Diagnosis : Lice and eggs can be found in the pubic hair  Treatment : Permethrin
  • 7.
  • 8.  Transmitted through close contact or fomites  Clinical features : Intense burning, itching (severe at night), papules/vesicles/burrows  Diagnosis : Microscopy  Treatment : Premethrin
  • 9.
  • 10.  Caused by pox virus  Clinical features : Small domed vesicle with central umblication. White waxy material can be expressed out of it  Diagnosis : Giemsa staining of the discharge  Treatment : Evacuation of white material, excision of the nodule, Monesel’s solution
  • 11.
  • 12.  Aka veneral warts  Caused by HPV  Associated with vulval, vaginal and cervical cancers  Treatment : Podophyllin
  • 13.
  • 14.  Caused by Haemophilus ducreyi  Clinical features : Papule  Pustule  Ulcer  Diagnosis : Gram staining showing extracellular “school of fish”  Treatment : Azihromycin
  • 15.
  • 16.
  • 17.  Caused by Treponema pallidum  Clinical features:  Primary Syphilis – Hard chancre  Secondary syphilis – Dissemination symptoms  Tertiary syphilis –Neurosyphilis, cardiosyphilis, gumma  Treatment : Penicillin
  • 18.
  • 19.  Caused by Neisseria Gonorrhoea  Clinical features : Urinary frequency, dysuria, dyspareunia, rectal discomfort, vaginal discharge.  Complication : PID, tubo – ovarian abscess, pelvic abscess, hydrosalpinx formation, infertility, menstural disturbances,etc  Treatment : Ceftriaxone
  • 20.  Caused by Chlamydia trachomatis  Clinical features : Vaginal discharge, dysuria, frequency of micturition, vaginitis, salphingitis, infertility.  Diagnosis : Fluorescein conjugated monoclonal antibody in immunofluorescene tests on smear from secretions  Treatment : Tetracyclin and clindamycin
  • 21.
  • 22.  Most common cause of pruritis vulvae  Clinical features : Profuse, thin, creamy or greeny and frothy discharge, strawberry vagina  Diagnosis : Wet film stained with Gram stain or Leishman stain, culture  Treatment : Metronidazole