Infectious Diseases Flashcards
what are the three most common STDs?
chlamydia trachomatis
neisseria gonorrhoeae
treponema pallidium
how do you treat N. gonorrhoeae?
3rd generation cephalosporin (ex- ceftriaxone, cefotaxine)
how do you treat Claymdias trachomatis?
doxycycline
How do you treat an enterobacteriaceae infections?
quinolone (ciprofloxacin)
Presetns with vulvar itching, “cottage cheese” discharge?
candidiasis
Tx from vulvovaginitis?
Intravaginal azoles (clotrimazole, miconadole)
tx for trichomoniasis?
metronidazole
Presents with malodorous thin discharge, clear to white
clue cells seen on wet mount
bacterial vaingosis
Tx for bacterial vaginosis
metronidazole (oral or intravaginal)
What organisms cause PID?
C. trachomatis, N. gonorrhoeae
Tx for PID
3rd generation cephalo pluse doxycycline OR quinolone plus metronidazole
what is the organism that causes syphillis?
treponema pallidum
what is is the organism that causes chancroid?
H. ducreyi
Presents w/ painful ulcrs and inguinal adenopathy w/ overlying erythema
chancroid
presents w/ painless ulcers
syphilis
Tx for syphilis
Benzathine penicillin G (doxycycline if PCN allergly)
Tx for chancroid
ceftraixone or azithromycin
Tx for HSV
acyclovir
initial stage of spyhillis
painless, indurated ulcer (chancre)
physical findigns of 2ndary syphillis
generalized maculopapular rash (palsm and soles)
mucous patches
generalized nontender LAD
test to dx syphillis
RPR (rapid plasma reagin)
AIDS is a CD4 count below what?
200
testing for HIV
ELISA then confirmed by Western Blot
CMV is seen in AIDS patients when CD4 counts drop below what
50
