5: Diagnosis of STIs Flashcards
Dysuria (painful urination) is typically is at the top of the list in the DDX of a ______.
However, ______ of the genital tract including cervicitis and vaginitis and ______ related abnormalities like herpes and trauma also cause dysuria.
Dysuria (painful urination) is typically is at the top of the list in the DDX of a UTI.
However, infections of the genital tract including cervicitis and vaginitis and skin related abnormalities like herpes and trauma also cause dysuria.
STI can move to the top of the differential after finding out about sexual activity in the history.
On speculum exam, vaginitis typically produces an odorous ______ discharge in the vault but not in the os.
______ of vaginitis include Candida, Trichomonas, & bacterial vaginitis.
Vaginitis is infectious or noninfectious inflammation of the vaginal mucosa, sometimes with inflammation of the vulva. Symptoms include vaginal discharge, irritation, pruritus, and erythema.
On speculum exam, vaginitis typically produces an odorous yellow discharge in the vault but not in the os.
Causes of vaginitis include Candida, Trichomonas, & bacterial vaginitis.
Vaginitis is infectious or noninfectious inflammation of the vaginal mucosa, sometimes with inflammation of the vulva. Symptoms include vaginal discharge, irritation, pruritus, and erythema.
Trichomonas Infection Symptoms:
Foul-smelling, frothy ______ or ______ discharge
Vaginal itching or redness
Dyspareunia (painful intercourse)
Urge to urinate and dysuria
Post-coital bleeding
Excessive or prolonged ______**
Most males are asymptomatic & often missed
Trichomonas Infection Symptoms:
Foul-smelling, frothy Grey or yellow-green discharge
Vaginal itching or redness
Dyspareunia (painful intercourse)
Urge to urinate and dysuria
Post-coital bleeding
Excessive or prolonged menses**
Most males are asymptomatic & often missed
Bacterial vaginosis:
Symptoms:
Odorous ______ ______ discharge
Itching
Sequelae:
Pregnancy complications
Possible increase in pelvic inflammatory disease (PID)
Bacterial vaginosis:
Symptoms:
Odorous milky white discharge
Itching
Sequelae:
Pregnancy complications
Possible increase in pelvic inflammatory disease (PID)
Candidiasis Symptoms:
Experience genital itching or burning
______ discharge
fire-red tissue
Itchy ______ rash in men
Candidiasis Symptoms:
Experience genital itching or burning
“cottage cheese-like“ discharge
fire-red tissue
Itchy penile rash in men
Mnemonic: Candidiasis Cottage Cheese
Use DNA ______ to diagnose trichomonas!
Use DNA probe to diagnose trichomonas!
______ vaginitis diagnosis requires the presence of at least three of the following four amsels criteria to diagnose.
Bacterial vaginitis diagnosis requires the presence of at least three of the following four amsels criteria to diagnose.
There is a nucleic acid ______ test that evaluates for T. vaginalis, G. vaginalis, and C. albicans.
There is a nucleic acid probe test that evaluates for T. vaginalis, G. vaginalis, and C. albicans.
Chlamydia Symptoms:
Heavy or prolonged ______
Spotting
Dysmenorrhea (painful periods)
Dyspareunia
Vaginal discharge
Itchy penile rash in men
Chlamydia Symptoms:
Heavy or prolonged menses
Spotting
Dysmenorrhea (painful periods)
Dyspareunia
Vaginal discharge
Itchy penile rash in men
Gonorrhea Symptoms:
Females:
______ or ______ vaginal discharge
Painful urination
Dysmenorrhea
Men
______ from the penis with pain
______ during urination
Swollen testicles
Gonorrhea Symptoms:
Females:
Yellow or bloody vaginal discharge
Painful urination
Dysmenorrhea
Men
Discharge from the penis with pain
Burning during urination
Swollen testicles
______ & ______ evaluation:
Nucleic Acid Amplification Test - NAAT =GOLD STANDARD!
Culture, only for medical legal purposes
Clamydia & Gonorrhea evaluation:
Nucleic Acid Amplification Test - NAAT =GOLD STANDARD!
Culture, only for medical legal purposes
What are common causes of vaginitis?
A. Candida Vaginitis
B. Herpes
C. Trichomonas
D. Bacterial Vaginosis
E. Gonorrhea
A. Candida Vaginitis
C. Trichomonas
D. Bacterial Vaginosis
______ is infectious or noninfectious inflammation of the vaginal mucosa, sometimes with inflammation of the vulva.
Symptoms include vaginal discharge, irritation, pruritus (itching), and erythema.
Vaginitis is infectious or noninfectious inflammation of the vaginal mucosa, sometimes with inflammation of the vulva.
Symptoms include vaginal discharge, irritation, pruritus (itching), and erythema.
Clamydia and Gonnorea are most common causes for ______.
Clamydia and Gonnorea are most common causes for cervicitis.
Concerning teenages & commencing STI treatment we ask for ______ parental consent ever!
Concerning teenages & commencing STI treatment we ask for NO parental consent ever!
Confidentiality is really important when taking care of teenagers!
