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Venereology by Mind Map: Venereology

1. Human Papilloma Virus

1.1. Condyloma

1.1.1. HPV 6 & 11

1.2. Cervical cancer

1.2.1. HPV 16 & 18

2. Gonorrea


2.1.1. Neisseria gonorrhoeae A diplococcus: grown in pairs 2-7 days Incubation Routes of infection Intercourse, oral-genital contact Mother->baby during birth Unprotected intercourse --> 60% risk of infection!


2.2.1. DIAGNOSTICS Sampling No urination during the last 2 hours! MEN: urethral sample WOMEN: urethral & cervical sample

2.2.2. TREATMENT New node

2.2.3. MANIFESTATIONS BOTH SEXES Urethritis, Proctitis, Pharyngitis, Conjunctivitis Men Epididymitis, prostatitis Women Cervicitis, bartolinitis, endometritis, PID/salpingitis, perihepatitis

3. Chlamydia


3.1.1. Chlamydia Trachomatis Gram neg coccus Intracellular parasite 1-3 weeks incubation Modes of infection

3.1.2. COMPLICATIONS BOTH SEXES Conjunctivitis, Proctitis Reiter syndrome MEN Urethritis, Prostatitis, Epididymitis WOMEN Cervicitis, Endometritis, Salpingitis INFERTILITY CHILDREN Pneumonia, Obstructive lung disease


3.2.1. SYMTOMS BOTH SEXES Urethritis About half have no symtoms! MEN 90% have microscopic urethritis "Burning" miction - common! WOMEN Cervicitis with flux

3.2.2. REPORTING According to Swedish Smittskyddslag. Information to patient! Its illegal to spread infections Infection traceback

3.2.3. TREATMENT Tetracycline (Doxyferm) 7-10 days No effect? Try a macrolide (Ery-Max) Pregnant patient? Amoxicillin 500mg x3 for 7 days

4. Other

4.1. Bacterial Vaginosis

4.2. Unspecified urethritis/cervicitis

4.3. Trichomonas vaginitis

5. HIV

6. Basic testing

6.1. Wet smear!

6.1.1. Sample from urethra/cervix & vagina For gonorrhoea and chlamydia, the cervix swab is placed in the urine sample.

6.2. Test for:

6.2.1. ALWAYS: Chlamydia, Gonorrea, Mycoplasma Genitalium

6.2.2. OPTIONAL: HIV, Hep B, Syphilis


8. Syphilis


8.1.1. HISTORY "The French disease" In France: "The Italian disease" 1500's: Outbreak in Europe 1905: Treponema Pallidum is identified 1906: Wasserman test is developed 1943: Penicillin used for treatment

8.1.2. Treponema Pallidum


8.2.1. STAGES: Primary The 2 first years after first infection! Secondary Late stages "Healing" (60%) ← Tertiary syphilis ←

9. Herpes Diseases

9.1. Herpes Simplex

10. To Dermatology Mindmap

11. About pictures!