Genital Ulcers Flashcards
what are the 4 types of genital ulcers to know and 3 defining features that will compare/contrast them?
syphillis, chancroid, herpes, LGV
number of ulcers, pain presnt and LAD presnt
what bug causes syphllis?
number of lesions, pain and lad?
t pallidum
single, no pain, LAd no tender
secondary syphillis symptoms?
fever, rash target on palms
tertiary syphillis?
neuro crap
diagnose primary?
diagnose secondary?
diagnose tertiary?
dark field micro
serologic testing RPR
LP RPR on CSF
treat primary?
treat secondary?
treat tertiary?
PCN
PCN
PCN IV
how do we know if the person is getting better with the RPR?
want it to decrease
bug causing LGV?
ulcer defining?
c trachomatis
single, painless, LAD tender with pus
diagnose and treat LGV?
NAAT
doxy
bug causing Chancroid?
ulcer defining?
h ducreyi
single, painful, LAD tender
diagnose and treat chancroid?
gram stain
azithro or cipro
bug causing herpes?
ulcer defining?
most common! HSV1 or HSV2
painful vesicles that can become ulcer
diagnose and treat herpes?
PCR
acycovir or valacyclvir
how to treat syphlilis with pcn allergy?
how to treat syphlilis with pcn allergy in pregnancy?
doxy
desneitize to pcn
what can we give for herpes if acyclovir doesnt work?
foscarnet
