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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
Human papilloma Virus: Most common causal organisms (2)
HPV 6 & 11
26
HPV Diagnosis (2)
* Visual inspection | * PAP smear
27
HPV treatment (3)
* No cure * Episodic treatment by topical podofilox * Comfort measures
28
Comfort measures for HPV and HSV
* Oatmeal Bath * Cotton Underwear * Loose fitting clothing * Keep lesions dry (HSV)
29
Symptoms of HSV: Initial episode (5)
* Multiple breakouts * Fever * Chills * Malaise * Vulvar edema
30
Symptoms of HSV: Recurrent episodes (2)
* Localized, prodromal tingling | * Painful, recurrent ulcers
31
Diagnosis of HSV (2)
* Culture: Swab of lesion (must pop blister to test) | * HSV PCR = Blood test
32
Sensitivity of HSV Blood test
80-90% effective
33
Treatment for HSV (3)
____CLOVIRs: * Acyclovir * Famcyclovir * Valcyclovir
34
3 primary routes of transmission: HIV/ AIDS
1) Sexual 2) Parenteral (blood-borne) 3) Perinatal
35
HIV: Diagnostic Testing Recommendations
Diagnostic testing for all women 13-64
36
HIV Screen
Elisa Enzyme Immunoassay or Rapid Test
37
HIV Diagnosis (Confirmation)
Western Blot or Immuno-fluorescence assay
38
Antenatal treatment / obstetric risk reduction can reduce HIV transmission how much?
So that transmission rates are less than 2%
39
Trichomoniasis symptoms (6)
``` May be asymptomatic, or: • Yellow-green, frothy malodorous discharge • Inflammation of the vulva and vagina • Irritation • Pruritis • Dysuria • Dyspareunia ```
40
Trichomoniasis diagnosis
* "Strawberry cervix" | * MAY be identified on pap smear
41
Trichomoniasis treatment
Systemic Metrodazole (Flagyl)
42
Bacterial vaginosis: Symptoms
* Profuse gray / white discharge | * Fishy odor
43
BV Diagnosis
* Culture: Add KOH, whiff test | * Clue cells on slide
44
What are clue cells
(epithelial cells slough off, bacterial cells attach to them -- cells are packed together)
45
BV Treatment
Metronidazole
46
Candidiasis Symptoms
• Cottage cheese discharge (Severe: clear discharge because other dc is so thick it doesn't come out
47
Candidiasis diagnosis
• Swab, slide, add KOH - wetmount: See PSUDOHYPHAE (yeast buds)
48
Candidiasis tx (4)
* Topical antifungals * Oral difucan * Comfort measures * Hygiene

OB (15 decks)

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