BUGS Flashcards
Nucleic acid amplification testing is used to diagnose
chlamydia and gonhorrhoea
treponema pallidum causes, labs
syphilis; VDRL Test, fluorescent treponemal antibody absorption
- antiphospholipid syndorme and lupus can lead to false positive on VDRL
Treat for syphillis is in pt who is preganant and has a PCN allergy
desensitize patient then give PCN
Fitz Hugh Curtis syndrome
- secondary to chlamydia and gonorrhea,: fever with pelvic inflammatory disease
- violin strings adhesions visualized on laparascopy
Gardernella vaginallis or bacterial vaginosis
:discharge features? pH? cells? Treatment?
don’t need to treat the partner!
trichomoniasis (trichomonas vaginalis)
discharge features? cells? pH? Treatment?
candida vaginitis
(candida albicans)
discharge features? cells? pH? teatment?
STIs are screened at
first appointment and during 3rd trimester is high risk patient
-25 or younger
-previous STI
-high risk sexual activity
congenital rubella classic triad
CDC
-Cataract,
- sensorineual Deafness,
-Cardiac disease ( patent ductus arteriosis and pulmonary artery stenosis)
Other: fetal growth restriction, hepatomegaly
parvovirus infection effecton fetus
fetal anemia and hydrops fetalis
Congenital syphillis
fetal intracranial and intrahepatic calcifications
***mother has positive RPR and treponemal antibody absorption test
clinical features of congenital cytomegalovirus in utero
managment
fetal growth resticition, enlarged liver with multiple intrahepatic calcifications, bilateral periventricular intracranial calcifications
management is expectant or pregnancy termination
listeria fetal infection results in
spontaenous abortion or preterm delivery with multiple absecesses and granulomas
US: dilates loops of bowel and ascites
gonorrhea
septic arthritis, fever, vaginitis with mucopurulent discharge, pustular lesions over distal extremities
post-partum endometritis risk factors
prolonged ruptures of membranes
prolonged labor
c-section
bacterial vaginosis
GBS colonization
manual removal of placenta
