2: Name that STI Flashcards
Characterized by a widespread, symmetrical maculopapular rash on the palms of the hands and soles of the feet and generalized lymphadenopathy. The woman may also experience fever, headache, and malaise. Condylomata lata (wart-like lesions) may develop on the vulva, perineum, or anus.
Syphilis (Secondary)
May develop enlarged unilateral or bilateral inguinal nodes known as buboes.
Chancroid
Infectious for life.
HIV
Cardiovascular (chest pain, cough), dermatologic (multiple nodules or ulcers; see Color Plate 26C), skeletal (arthritis, myalgia, myositis), and neurologic (headache, irritability, impaired balance, memory loss, tremor) symptoms can all develop in this stage.
Syphilis (Tertiary)
It is more infectious than HIV and hepatitis C virus.
Hep B
Viral shedding without symptoms occurs during latency.
Herpes
Lesions begin as vesicles and progress rapidly to ulcerated lesions.
Herpes
Caused by a spirochete.
Syphilis
2nd most commonly reported bacterial STI.
Gonorrhea
Characterized by a primary lesion, or a chancre, which often begins as a painless papule at the site of inoculation and then erodes to form a nontender, shallow, indurated, clean ulcer that is several millimeters to a few centimeters in size.
Syphilis (Primary)
Prophylaxis with immune globulin is not effective in preventing infection after exposure.
Hep C
The prevalence is six times higher in black women than in white women.
Chlamydia
Lesions most commonly seen around the vaginal introitus.
HPV
The most serious complication is PID.
Chlamydia
Gonorrhea
Growths can be flat, papular, or pedunculated.
HPV
Primary cause of genital ulcer disease in the US.
Herpes
Infection will become chronic in more than 75% of patients.
Hep C
Sexually active adolescents and women aged 15 to 24 years of age have nearly three times the prevalence as women aged 25 and 39 years, and women are infected at a rate of two times that of men.
Chlamydia
The most common STI in the US.
HPV
Infection can be vaginal, anal, or oral. When oral, symptoms are similar to strep.
Gonorrhea
A group of double-stranded DNA viruses with more than 100 known serotypes.
HPV
When symptoms are present, they are often less specific than the symptoms in men. Women may report dyspareunia, a change in vaginal discharge, unilateral labial pain and swelling, or lower abdominal discomfort. Later in the infection’s course, women may describe a history of purulent, irritating vaginal discharge, or rectal pain and discharge. Menstrual irregularities may be the presenting symptom, with longer, more painful menses being noted. Women may also report chronic or acute lower abdominal pain. Unilateral labial pain and swelling may indicate Bartholin’s gland infection (see Chapter 19), whereas periurethral pain and swelling may indicate inflamed Skene’s glands. Infrequently, dysuria, vague abdominal pain, or low backache prompts women to seek care. Later symptoms may include fever (possibly high), nausea, vomiting, joint pain and swelling, or upper abdominal pain (liver involvement).
Gonorrhea
The most commonly reported nationally notifiable infection in the United States and the most common bacterial STI.
Chlamydia
Infrequent STI with bumps with pit/dimple in center. Usually painless. Spread through skin-to-skin contact.
Molluscum
Present with history of a painful macule on the external genitalia that rapidly changes to a pustule and then to an ulcerated lesion.
Chancroid
The most common chronic blood-borne infection in the US.
Hep C
Rates are highest among black women.
Syphilis