Exam 3 - STIs Flashcards
Gonorrhea
epi/transmiss
- developed countries
- 15-19 yo’s
- sx more apparent in men
- contracted through sinful acts
Gonorrhea
sx
- purulent d/c, dysuria, urethritis
- women often asx (rude!)
- other: proctitis, pharyngitis, conjunctivitis (baby clap)
Gonorrhea
complications
- women: PID, endometritis, salpingitis, tub-ovarian abscess
- men: epididymitis
- rare: dissem’d dz, polyarthritis, hemorrhagic/pustular rash
Gonorrhea
dx
-gram stain, culture lesions, nucleic acid amplification
Gonorrhea
tx
-Ceftriaxone IM + Zithromax for the chlamydia
that you probably also got
Chlamydia
epi/transmiss
- most are asx
- co-infection wit da clap
- more common in men, more sx in men
- transmiss: i woke up like dis
Chlamydia
sx
-men: urethritis (NGU), d/c (less purulent than clap),
epididymitis, prostatitis
-women: urethritis, mild d/c, cervicitis, PID, endometritis,
salpingitis
-babes: conjunctivitis, pneumonia
rare: aseptic reactive arthritis
rare, tropical: lymphogranuloma venerum (papule->mass)
Chlamydia
dx
nucleic acid test
Chlamydia
tx
1) zithromax 1g PO
2) doxycycline
Trichomoniasis
(T. vaginalis)
transmiss/epi
- self-lim’d in men
- highly contagious
Trichomoniasis
(T. vaginalis)
sx
-men: asx
-women: sometimes asx; d/c, inflamm, dyspareunia,
premature birth
Trichomoniasis
(T. vaginalis)
dx
-wet prep of secretions, RAT
Trichomoniasis
(T. vaginalis)
tx
metronidazole
Chancroid
(H. ducreyi)
transmiss/epi
- asx women
- recent outbreak in US
Chancroid
(H. ducreyi)
sx
-tender papule->ulcer
Chancroid
(H. ducreyi)
dx
-gram stain: GNR school of fishies
Chancroid
(H. ducreyi)
tx
Ceftriaxone OR Zithromax OR Quinolone
BV
transmiss/epi
-Invasion of the Anaerobes!!!! (e.g. gardnerella)
BV
sx
- mostly asx, except for that fishy odor
- your cat starts meowing at your no-no
BV
dx
-coccobacillary forms on vag epithelium on gram stain
BV
tx
metronidazole
Syphillis
(T. pallidum)
transmiss/epi
- bumping uglies, fluids
- most infx’ous early in dz
- rapid dissemination
Syphillis
(T. pallidum)
sx
-obliterative endarteritis, gumma lesions, tinnitus
-primary: painless ulceration at site of innoculation, adenopathy
-secondary: macpap rash at 2-8 wks, condylomata plaque, fever,
epitrochlear adenopathy, meningitis, CN palsy, glomeruloneph, etc etc
-latent: no sx, but high serological presence
-tertiary: CSF; meningovascular (seizure, infarct) or parenchymatous (bx/mood (paresis) and paresthesias)
Syphillis
(T. pallidum)
dx
- RPR, particularly for secondary (3-6 wks)
- asx syphillis hard to dx
