Infections Flashcards
S/S of gonorrhea/chlamydia
Thick, creamy, purulent discharge
Malodorous
Diagnosis of gonorrhea/chlamydia
Culture
Treatment of gonorrhea
Rocephin
Treatment of chlamydia
Azithromycin or doxycycline
S/S of HSV
Vesicular lesions with serous fluid
HSV1 vs HSV2
HSV1: oral
HSV2: genital
*as a general rule
Treatment of HSV
Acyclovir
Strains of HPV correlated with genital warts vs cancer
Warts: 6, 11
Cancer: 16, 18, 45
Treatment of HPV condyloma
Cryotherapy
Imiquimod
TCA
Etiology of chancroid
STD bacterial infection of Haemophilus ducreyi
S/S of chancroid
Painful necrotizing genital ulcers with soft edges (Saucer-shaped)
Inguinal lymphadenopathy
Treatment of chancroid
Azithromycin, Rocephin, or Cipro
Lymphogranuloma venereum
STD caused by chlamydia trachomatis
S/S of lymphogranuloma venereum
Stage 1: genital blisters
Stage 2: swollen, painful lymph nodes in the groin
Diagnosis of lymphogranuloma venereum
Blood test
NAAT
Treatment of lymphogranuloma venereum
Doxycycline
Etiology of pelvic inflammatory disease
Polymicrobial
S/S of PID
Lower abdominal pain
Cervical motion tenderness (chandelier sign)
Fever
Treatment of PID
Rocephin + Doxy + Flagyl
Etiology of syphilis
Treponema pallidum
S/S of syphilis
Primary: lone painless ulcer (chancre)
Secondary: generalized rash, malaise, fever
Tertiary: neurologic symptoms
Treatment of syphilis
Primary or secondary: 1 dose of penicillin
Latent and tertiary: 3 doses of penicillin
S/S of trichomoniasis
Frothy grey-ish/green discharge
Foul smelling
Strawberry cervix
Diagnosis of trich
Saline prep
Treatment of trich
Flagyl
S/S of bacterial vaginosis
Milky, homogenous, malodorous discharge
Fishy smell
Diagnosis of BV
KOH prep
Saline prep (Clue cells)
Treatment of BV
Flagyl
S/S of atrophic vaginitis
Vaginal burning
Soreness
Dryness
Treatment of atrophic vaginitis
Vaginal moisturizers
Vaginal estrogen
S/S of candidal vaginitis
Itching and burning
Thick, cottage cheese discharge
Diagnosis of candidal vaginitis
Culture
Treatment of candidal vaginitis
Fluconazole