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Summary Year 5 Medical Finals Summaries - UKMLA
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These medical revision notes are designed specifically for final year medical students preparing for the UKMLA. They provide concise, high-yield summaries covering the main topics on the exam, including cardiology, respiratory, neurology, haematology, MSK, dermatology, ENT, psychiatry, ophthalmolog...

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  • June 24, 2024
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  • 2023/2024
  • Summary

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SEXUAL HEALTH REVISION

- ‘Double swabs’ - x1 endocervical NAAT swab for CT and NG, x1 high-vaginal charcoal swab for
bacterial and fungal infections
- ‘Triples swabs’ - x1 endocervical NAAT swab for CT, x1 endocervical charcoal swab for NG, x1
high-vaginal charcoal swab for bacterial and fungal infections


Symptoms Diagnosis Treatment


Chlamydia 80% asymptomatic; endocervical Azithromycin stat or doxycycline
Chlamydia discharge (white), NAAT swab
trachomatis dysuria, cervicitis, Complications:
7-21d incubation bleeding, pelvic pain first-pass urine PID, Bartholin’s abscess
NAAT lymphogranuloma venereum
50% asymptomatic; (ideally 2w post- (painless ulcer → inguinal
discharge, dysuria UPSI) lymphadenopathy → proctocolitis) -
doxycycline, non-specific urethritis
urethral strictures, reactive
arthritis

Gonorrhoea 50% asymptomatic; endocervical Azithromycin stat + ceftriaxone IM
Neisseria discharge NAAT swab or stat
gonorrhoea (gram (mucopurulent), endocervical
neg diplococci) dysuria, cervicitis, charcoal swab Complications:
2-5d incubation bleeding, pelvic pain PID (with Fitz-Hugh-Curtis
first-pass urine syndrome), Bartholin’s abscess,
80% asymptomatic; NAAT urethral strictures
discharge, dysuria urethral strictures, septic
arthritis

Herpes Painful ulcer, dysuria, Swab ulcer for Aciclovir ( until birth via c-section)
HSV-1, HSV-2 pyrexia, inguinal PCR or culture
lymphadenopathy

Syphilis 1o - painless ulcer Swab ulcer for Benzathine benzylpenicillin IM
Treponema 2o - rash, general PCR stat
pallidum lymphadenopathy, Jarisch-Herxheimer reaction (fever +
constitutional sx, rash + tachycardia a few hours after
condylomata lata, first dose)
tingling

Anogenital warts Small (2-5mm) fleshy Clinical dx but Podophyllotoxin cream (3d on, 4d
(condylomata protuberances with screen for other off until healed) or cryotherapy
acuminata) slight pigmentation, STIs
HPV-6, HPV-11 may bleed or itch

Chancroid Papule → pustule → Swab lesion for Azithromycin stat
Haemophilus painful ulcer (multiple PCR
ducreyi in , single in ),
Developing inguinal
countries lymphadenopathy

PID Discharge, pelvic pain, Double or triple Doxycycline or ofloxacin +

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