ch 52 sexually transmitted infections Flashcards
risk factors STIs (3)
- 18-25 yo
- multiple sexual partners
- h/o STDs
S+S gonorrhea in women (3)
- dysuria
- vaginal discharge
- redness and cervical discharge
S+S gonorrhea in men (2)
- dysuria
- purulent urethral discharge
complications of gonorrhea in women (3)
- pelvic inflammatory disease
- tubal pregnancy
- infertility
complications of gonorrhea in men (2)
- infertility
- infection of prostate
treatment of gonorrhea for newborns
prophylactic erythromycin eyedrops
treatment for gonorrhea
-single IM dose ceftriaxone (diluted with lidocaine)
S+S chlamydia in men (3)
- urethritis
- proctitis
- epididymitis
S+S chlamydia in women (4)
- cervicitis
- urethritis
- bartholinitis
- pelvic inflammatory disease
treatment chlamydia
single dose azithromycin (PO)
primary stage S+S syphilis
chancre sore (face of genitals)
secondary stage S+S syphilis (2)
- flu like symptoms
- rash
tertiary stage S+S syphilis (3)
- destructive gummas
- cardiovascular complications
- neurosyphilis
Dx for syphilis
blood studies for T Pallidum
treatment for syphilis
penicillin IM inj
if penicillin allergy: doxycycline or azithromycin
at what stage in syphilis are symptoms irreversible
tertiary
pt teaching for any STI (3)
- no sex until 7 days after completion of Tx
- treat partner
- condom use
primary episode S+S genital herpes (HSV2)
- vesicles on genitals
- painful
Tx genital herpes (HSV2) (3)
- antivirals: acyclovir, valacyclovir
- sitz baths with warm water
- local anesthetic
S+S genital warts (HPV)
- painless
- “cauliflower lesions”
Tx genital warts (HPV)
-removal (chemical or physical)
admin considerations for doxycycline (4)
- avoid prolonged/excessive exposure to sunlight
- take on empty stomach
- don’t take with antacids, iron, or dairy
- pregnant women shouldn’t take this med
