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OB > 13. STIs / Women's Health > Flashcards

13. STIs / Women's Health Flashcards

1
Q

8 Bacterial STIs

A
  • Chlamydia
  • Gonorrhea
  • Syphillis
  • Chancroid
  • Lymphogranuloma Venerum
  • Genital Mycoplasms
  • Group B Strep
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2
Q

5 Viral STIs

A
  • HIV
  • HSV I and II
  • Cytomegalovirus
  • Hepatitis B and C
  • HPV
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3
Q

Protazoal STI (1)

A

• Trichomoniasis

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4
Q

Parasitic STIs (2)

A
  • Pediculosis

* Scabies

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5
Q

Chlamydia: Causal organism

A

Chlamydia trachomatis

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6
Q

Chlamydia: Symptoms (4)

A 
Rarely symptomatic, but may report:
•	Mucopurulent Discharge
•	Postcoital bleeding
•	Dysuria
•	Bartholin's Abcess
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7
Q

Chlamydia Diagnosis (2)

A

Urine or swab

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8
Q

Chlamydia: Treatment

A

Azithromycin

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9
Q

Gonorrhea: Symptoms (4)

A 
Rarely symptomatic in women, but may complain of:
•	Purulent discharge
•	Dyspareunia
•	Dysuria
•	Bartholin's Abcess
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10
Q

Dyspareunia (def)

A

Painful intercourse)

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11
Q

Dysuria (def)

A

Painful urination

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12
Q

Gonorrhea: Symptoms

A

Ceftriaxone

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13
Q

Pelvic Inflammatory Disease: Cause

A

Complication on untreated GC, CT or other organism

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14
Q

Pelvic Inflammatory Disease: Risk factors (5)

A
  • Young age
  • Multiple partners
  • History of STIs
  • STI at time of IUD placement
  • Douching
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15
Q

Minimum criteria for PID dx (3)

A
  • Lower abdominal pain
  • Bilateral adnexal tenderness
  • Cervical motion tenderness
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16
Q

PID can result in… (3)

A
  • Ectopic pregnancy
  • Infertility
  • Chronic Pelvic Pain
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17
Q

Syphilis: Timing of primary, secondary, tertiary

A

Primary: 10-90 days after infection
Secondary: After primary sxs
Tertiary: After 1-20 years of latency

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18
Q

Syphilis Birth defects (3)

A
  • Deafness
  • Bone deformities
  • Neurological impairment
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19
Q

Primary Syphilis: Symptoms (3)

A
  • Chancre
  • Inguinal lymphadenopathy
  • Can pass from mother to baby
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20
Q

Secondary Syphilis Symptoms (5)

A
  • Palmar and plantar rash (not itchy)
  • Condyloma Lata (genital warts)
  • General malaise
  • Fever
  • Headache
21
Q

Tertiary Symptoms (4)

A
  • Neurologic
  • Cardiovascular
  • Musculoskeletal
  • Multi-organ system complications
22
Q

Syphilis Screen

A

Non-treponemal-antibody tests

(non-specific blood tests)

VDRL and RPR

23
Q

Syphilis Diagnostic Test

to administer if screen is positive

A

Trepenomal Tests: FTA - ABS

24
Q

Syphilis Treatment

A

Penicillin

25
Q

Human papilloma Virus: Most common causal organisms (2)

A

HPV 6 & 11

26
Q

HPV Diagnosis (2)

A
  • Visual inspection

* PAP smear

27
Q

HPV treatment (3)

A
  • No cure
  • Episodic treatment by topical podofilox
  • Comfort measures
28
Q

Comfort measures for HPV and HSV

A
  • Oatmeal Bath
  • Cotton Underwear
  • Loose fitting clothing
  • Keep lesions dry (HSV)
29
Q

Symptoms of HSV: Initial episode (5)

A
  • Multiple breakouts
  • Fever
  • Chills
  • Malaise
  • Vulvar edema
30
Q

Symptoms of HSV: Recurrent episodes (2)

A
  • Localized, prodromal tingling

* Painful, recurrent ulcers

31
Q

Diagnosis of HSV (2)

A
  • Culture: Swab of lesion (must pop blister to test)

* HSV PCR = Blood test

32
Q

Sensitivity of HSV Blood test

A

80-90% effective

33
Q

Treatment for HSV (3)

A

____CLOVIRs:

  • Acyclovir
  • Famcyclovir
  • Valcyclovir
34
Q

3 primary routes of transmission: HIV/ AIDS

A

1) Sexual
2) Parenteral (blood-borne)
3) Perinatal

35
Q

HIV: Diagnostic Testing Recommendations

A

Diagnostic testing for all women 13-64

36
Q

HIV Screen

A

Elisa Enzyme Immunoassay or Rapid Test

37
Q

HIV Diagnosis (Confirmation)

A

Western Blot or Immuno-fluorescence assay

38
Q

Antenatal treatment / obstetric risk reduction can reduce HIV transmission how much?

A

So that transmission rates are less than 2%

39
Q

Trichomoniasis symptoms (6)

A 
May be asymptomatic, or:
•	Yellow-green, frothy malodorous discharge
•	Inflammation of the vulva and vagina
•	Irritation
•	Pruritis
•	Dysuria
•	Dyspareunia
40
Q

Trichomoniasis diagnosis

A
  • “Strawberry cervix”

* MAY be identified on pap smear

41
Q

Trichomoniasis treatment

A

Systemic Metrodazole (Flagyl)

42
Q

Bacterial vaginosis: Symptoms

A
  • Profuse gray / white discharge

* Fishy odor

43
Q

BV Diagnosis

A
  • Culture: Add KOH, whiff test

* Clue cells on slide

44
Q

What are clue cells

A

(epithelial cells slough off, bacterial cells attach to them – cells are packed together)

45
Q

BV Treatment

A

Metronidazole

46
Q

Candidiasis Symptoms

A

• Cottage cheese discharge

(Severe: clear discharge because other dc is so thick it doesn’t come out

47
Q

Candidiasis diagnosis

A

• Swab, slide, add KOH - wetmount: See PSUDOHYPHAE (yeast buds)

48
Q

Candidiasis tx (4)

A
  • Topical antifungals
  • Oral difucan
  • Comfort measures
  • Hygiene

OB (15 decks)

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