Infestations and STIs Flashcards

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1
Q

Describe nits vs lice

A
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2
Q

What is this condition and its characteristics

A

Scabies
- burrowing mite under skin, eggs lain and hatched over a few days and weeks
- rxn delayed
- skin to skin or STI
- can treat with permethrin 5% cream, oral ivermectin/antihistamines

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3
Q

Characteristics and treatments of a black widow bite

A

-immediate pain
-abdominal, back, leg pain
-MSK spasms
-worsening over 24hrs, subsiding over 2-3 days
- treat with antivenin, muscle relaxants

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4
Q

What is this condition

A

Brown recluse spider bite

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5
Q

Characteristics and treatments for a brown recluse bite

A

-urticaria
-full skin necrosis
-pain 2-3hrs after bite
-only diagnosed with collection/identification of bite
-treat with tetanus, immobilization, ice, elevation, abx, surgical debridement

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6
Q

What is this condition

A

Tick bite

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7
Q

Etiology and treatment of a tick bite

A

-ixodes scapularis (black legged deer tick)
-B Burgdorferi spirochete
-rash, MSK pain stiffness, neuro problems, nerve palsy, aseptic meningitis
-treat with doxy as prophylaxis or treatment

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8
Q

What is this condition

A

bed bug bites (breakfast lunch and dinner)

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9
Q

treatment for bed bugs

A

-get rid of source
-self limiting in 1-2 weeks
-antihistamines
-cold compress
-topical corticosteroids

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10
Q

What is this condition

A

primary syphilis
-painless chancre, punched out appearance

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11
Q

characteristics of primary syphilis

A
  • HIGHLY infectious
  • may heal 3-6 weeks
  • tests may not initially be positive
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12
Q

High risk groups for syphilis

A

MSM, sex workers, multiple partners, HIV/STIs, drug use

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13
Q

characteristics of secondary syphilis

A
  • palmar/plantar rash
  • may persist for months
  • may have constitutional symptoms
  • VERY contagious
  • highest titers of serology tests
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14
Q

characteristics of latent syphilis

A
  • may never be symptomatic
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15
Q

characteristics of tertiary syphilis

A
  • can involve brain, nerves, eyes, heart, bones, liver, joints
  • very difficult to treat
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16
Q

What is this condition

A

secondary syphilis

17
Q

what is this condition

A

Herpes simplex virus

18
Q

etiology of HSV

A
  • chronic lifelong infection
  • HSV1 and 2
  • easier transmission from men to women
  • recurrent infections less symptomatic and severe
  • oral antivirals can control symptoms and reduce transmission
  • viral shedding and contagion even when asymptomatic
19
Q

what is this condition

A

condyloma acuminatum (genital warts)

20
Q

characteristics and treatment of condyloma acuminatum

A
  • HPV 6, 11
  • most common STI
  • HPV vax can reduce
  • recurrence common
  • can treat with cryotherapy, laser, excision, imiquimod 5% cream, podofilox 0.5% solution