Cae 6 Flashcards
Which PID infections are associated with Fitz Hugh Curtis Syndrome?
gonorrhea and chlamydia
How many women with PID get Fitz Hugh Curtis Syndrome?
10%
Name the S/Sx of Fitz Hugh Curtis Syndrome.
RUQ pain, pleuritic pain, may have referral to right shoulder, RUQ tenderness to palpate on exam
What is the Chandelier Sign?
cervical motion tenderness of PID elicits pain that is so bad on bimanual exam that he patient reaches up to grab the chandelier on the ceiling
Describe primary syphilis.
consists of a single painless chancre at the site of inoculation, with regional aden-patchy
Describe secondary syphilis.
systemic illness that often includes a rash involving palms and soles, fever, malaise, maybe pharyngitis, hepatitis, condylomata, alopecia
Describe early latent syphilis.
refers to the period when a patient is infected with Treponema pallidium as demonstrated by serological testing, but has no symptoms. Occurs in first year of initial infection.
Treatment of early syphilis.
preferred: penicillin G benzathine 2.4 million units IM once
alternatives: doxy, ceftriaxone, tetracycline, amoxicillin
Describe tertiary syphilis.
Patients with late syphilis who have symptomatic manifestations involving cardio or granulomatous disease of the skin, tissue, bones
Describe late latent syphilis.
the period when a patient is infected with T. Pallidum on serology but has no symptoms. Occurs more than one year after initial infection.
Treatment for late syphilis?
preferred: penicillin G bezathine 2.4 million units IM once weekly for 3 weeks
Describe neurosyphilis.
Patient may have asymptomatic meningitis, symptomatic meningitis, vision or hearing loss.
Treatment for neurosyphilis?
Aqueous penicillin G 3-4 million units IV
What is the preferred testing for gonorrhea?
NAAT (nucleic acid amplification testing)
Treatment for gonorrhea?
Ceftriaxone 500 mg IM x 1
-add doxycycline 100 mg BID x 7 days if coinfection with chlamydia
