infections

Question 1

what are inpt vs outpt tx regimens for PID

Answer 1

outpt: ceftriaxone + doxycycline + metronidazole
inpt: cefoteten or cefoxitin + doxycycline

alt: clindamycin + gentamicin

Question 2

What is an alternative antibiotic medication that can be used to treat syphilis in the setting of penicillin hypersensitivity?

Answer 2

Tetracycline or doxycycline.

Question 3

what is the causitive organism of chancroid?

Answer 3

Haemophilus ducreyi, a gram-negative, fastidious rod that clumps in long parallel strands producing the so-called “school of fish” or “railroad track”

Question 4

classic presentation of chancroid

Answer 4

painful genital ulcer that has a ragged border and a purulent base

starts initially as a papule that progresses into a pustule and then into an ulcer within a few weeks. Patients may also report dysuria and dyspareunia,

PE: unilateral tender inguinal lymphadenopathy (buboes) that appears 1 to 2 weeks after onset of the ulcer

Question 5

chancroid treatment

Answer 5

azithromycin, ceftriaxone, or erythromycin

Question 6

treatment for lymphogranuloma venereum

Answer 6

doxycycline 100 mg oral twice daily for 21 days

Question 7

major complications of PID?

Answer 7

tubo-ovarian abscess, chronic pelvic pain, infertility, and ectopic pregnancy