Gential and Urinary System Disorders (STIs)- Notes from Slideshow (Quiz 4) Flashcards
Vaginal and Penile STIs
- HPV
- HSV
- Trichomoniasis
- Syphilis
- Chlamydia
- Gonorrhea
What can help prevent STIs?
Condoms
Do condoms offer complete protection from STIs?
No
Which STI is least protected by condom use?
HPV
Most common STI in US
HPV
Types of HPV
- warts
- cancer causing
Most common HPV cancer location
Cervix
Types of HSV
- Type 1: Oral
- Type 2:Genital
Symptom of HSV
painful red vesicles
Severity of outbreaks
Primary outbreaks are typically more severe than secondary
When is HSV most contagious?
when vesicular lesions are visible and weeping
When else can HSV spread? (other than during outbreak)
viral shredding can occur at any time
Patient education on HSV
- Teach about when HSV is contagious
- to avoid spread to partners and themselves
Symptoms of Trichomoniasis
Discharge:
- profuse
- frothy
- green/yellow
- foul odor
-Often asymptomatic in males
How to diagnose Trichomoniasis?
- Micro
- Seen swimming through the slide medium
Is Syphilis acute or chronic?
Chronic
What causes Syphilis?
- Spirochete
- Treponema
- Pallidum
Syphilis Stages
- Primary
- Secondary
- Latent
- Tertiary (Late)
Primary Stage of Syphilis: Symptoms
Chancre
Primary Stage of Syphilis: When do symptoms appear?
10-90 days after exposure
Primary Stage of Syphilis: Common sites
- penis
- labia
Primary Stage of Syphilis: Other sites
- Anus
- Oral mucosa
Primary Stage of Syphilis: How long for chancre to disappear without treatment
2-8 weeks
Secondary Stage of Syphilis: Common Symptoms
- generalized lymphadenopathy
- palm/sole rash (50% of cases) with pink to brown macules
- Oral lesions “mucus patches” (look like snail track)
- condylomata latum (wart like lesions)
- Symptomatic early neurosyphilis/cranial nerve deficits or meningitis presentation
- Uveitis (ocular manifestations)
Secondary Stage of Syphilis: Rare Symptoms
internal organ manifestations:
- acute hepatitis
- nephrotic syndrome
Latent Stage of Syphilis: Symptoms
No symptoms
Latent Stage of Syphilis: Stages
- Early latent
- Late latent
Latent Stage of Syphilis: Diagnosis of Early latent stage
- Positive test
- No Symptoms
- History confirms exposure/symptoms of primary/secondary in past year
Latent Stage of Syphilis: Diagnosis of Late latent stage
- Positive test
- Don’t meet criteria for early latent
Latent Stage of Syphilis: Treatment of Late latent stage
Multi dose penicillin
Tertiary (Late) Stage of Syphilis: another name
neurosyphilis
Tertiary (Late) Stage of Syphilis: Symptoms
- lesions in various organ systems
- aortitis
- Aortic aneurism
- coronary arteritis
- gummas
- tabes dorsalis
- gait impairment
- dementia
Condition that damages the dorsal column and sensory nerve roots
tabes dorsalis
Symptoms of tabes dorsalis
- pain
- sensory deficits
- similar to B12 deficiency
Ulcerating granulomas on skin, bone, and internal organs
gummas
Medication for primary, secondary and early latent stage syphilis
Single dose penicillin
Symptoms of Gonorrhea
- dysuria
- urinary frequency
- purulent/milky discharge
Is possible for a male to be asymptomatic even if his female partner has symptoms
Disorders of the Male Reproductive System
- Erectile Dysfunction
- Cryptorchidism
- Benign Prostatic Hyperplasia (BPH)
- Testicular Torsion
- Orchitis
- Epididymitis
