Genitourinary Reprod Flashcards
flora in the genitourinary is _______
none; sterile
E. coli is the most prevalent cause of _____ _____
acute cystitis
urinary frequency, dysuria, suprapubic tenderness, possible vaginal discharge, and __________ tenderness are common in ________
costovertebral
acute cystitis
treat UTI with __________ for 7 days or _________ for ___ days
nitrofurantoin - 7
trimethoprim - 3
E coli is the primary cause of ______, which presents with _____, dysuria, frequency, and urgency, _______ pain & CVA tenderness, nausea/vomiting
pyelonephritis
abdominal
fever
treat pyelonephritis with _____
cipro
treat prostatitis with _______ or _______, for _____ weeks
fluoroquinones or TMP-SMX
4-6 weeks
classic symptoms of prostatitis are malaise, fever, chills, ________ pain, and ______ pain
low pack
deep perineal
epididymitis is often associated the bacteria ______
E. coli
urethritis is most often associated with the bacteria ______ ______ (gram negative aerobic cocci) and _______
neisseria gonorrhae
chlamydia
urethritis is often associated with _______
STIs
balanitis is inflammation of the _____ _____ and foreskin. Will present with _______, tenderness, and itching
glans penis
pain
balanitis is most commonly associated with ________ (fungal), but can also be group B strep
candida
treat balanitis with an _______. A KOH wet mount may show fungal hyphae
antifungal
most common viral cause of orchitis is _______. Can be unilateral or bilateral
mumps
treat orchitis with ________
antibiotics
group vesicles for _______, painless ulcer for sphylisis, chlamydia, klebsiella are all forms of ______ lesions
herpes simplex virus
genital
male reproductive is ______, whereas the vagina contains _________, group B strep, _______, and staph epidermis as normal flora
sterile
lactobacilli
E coli
infection that can involve the uterus, fallopian tubes, ovaries, peritoneum is _________ _______ ______
pelvic inflammatory disease
PID presents with ________ and ______ pain, vaginal discharge, abnormal bleeding
abdominal and pelvic pain
cervical motion tenderness commonly occurs in _______
PID
treat PID with _________
antibiotics
if uterus is involved in PID, the pathogens are likely ______________, ________, and _______
neisseria gonorrhae
chlamydia
bacterioides
if the cervix is involved in PID, the pathogens are likely _______, ______, and HSV
neisseria gonorrhae
chlamydia
risk factors for candidiasis include _________, chronic use of corticosteroids, ________, and other diseases
broad spectrum antibiotics hormonal factors (contraceptives)
treat candida albicans with a topical ______
antifungal
mastitis presents with warm, red, tender breast, fever. Most likely caused by ____________ (gram negative)
staph aureus (possibly strep)
treat mastitis with ___________ of abscess, NSAIDS, and antibiotics
surgical drainage
neisseria gonorrheae causes ________ and _______. Gram stain and culture if diagnosis is in question.
dysuria and purulent discharge
_________ (obligate intracellular) is the most common STI after _______. Presents with dysuria, discharge, postcoital bleeding.
chlamydia trachomatis
HPV
haemophilis ducreyi cause ________, which present with painful vesiculopustular lesions and nodules on the inguinal canal
chancroid
HSV is a ______ STI. Genital herpes is type ____. Cytology and viral culture.
viral
2
treat HSV with ______ Otherwise, self limiting.
acyclovir
trichomonas vaginalis is a _______ STI. Foul-smelling vaginal discharge in women, or ______ in men
parasitic
urethritis
a KOH wet mount will show flagellated protozoan, which is representative of which STI?
trichomonas vaginalis (parasitic)
Treat trichomonas vaginalis with ________
metronidazole