Infectious disease Flashcards
Tx of choice for: pH 5-6.5, fishy odor, KOH test, clue cells of wet mount, no vaginal inflammation
bacterial vaginosis (garnerella) treated with po metronidazole
Tx of choice for: pH 3.8-4.5, cottage cheese, vaginal inflammation
candida vaginitis treated with fluconazole
What if pt has syphilis and allergic to penicillin?
Treponeum pallidum
desensitize to penicillin if skin test is positive for IgE response.
Then givePenG
MC asx
Cervicitis (mucopurulent discharge and irregular bleeding)
urethritis
perihepatitis
Dx
C/G
Tx of chlamydia, gonorrhea, or both
chlamydia - azithro
gono - azithro and ceftriaxone
Empiric- “ + “
Tx of syphilis
empiric penicillinG
HIV tx during pregnancy
3-drug (2NRTIs, 1 NNRTI) [NRTI - zidovudine]
postpartum HIV mother - what for infant?
zidovudine for 6wk
Hep C mom. Make sure she is vaccinated with what during pregnancy
hep b and c
GBS screen - when and how
35-37 weeks with culture of vagina and rectum
GBC tx
penicillin