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HDID Block 2 > L56 > Flashcards

L56 Flashcards

1
Q

What are the 6 uncomplicated genital infections caused by chlamydia and/or gonorrhea?

A
  1. Urethritis / acute urethral syndrome
  2. Cervicitis
  3. Bartholinits
  4. Conjunctivitis
  5. Pharyngitis
  6. Proctitis
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2
Q

What is Bartholinitis?

A

Acute/rapid onset labial swelling

Unilateral

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3
Q

What is the clinical presentation for STI caused pharyngitis?

A

Asymptomatic

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4
Q

What is proctitis? Which bugs cause this?

A

Rectum inflam

Gonorrhea & chlamydia L1-3 strains (!!)

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5
Q

What are the complicated genital infections caused by chlamydia and/or gonorrhea?

A
  1. Epidydimitis
  2. PID
  3. Reiter’s syndrome
  4. Disseminated gonococcal infection
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6
Q

What are the clinical symptoms of epidydimis?

A

Unilateral scrotal pain/swelling

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7
Q

What is the clinical presentation of PID?

A

Asymptomatic
Lower ab pain
Cervical motion tenderness on bimanual pelvic exam
Adnexal tenderness

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8
Q

2 acute complications of PID

A

Perihepatitis

Pelvic peritonitis

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9
Q

3 late complications of PID

A

Chronic pain
Ectopic preg
Infertility

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10
Q

Which bug causes Reiter’s syndrome?

A

Chlamydia

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11
Q

What are symptoms of disseminated gonococcal infection?

A

Due to untreated gonococcal infection

Arthritis + skin lesions

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12
Q

Diagnose urethritis & conjunctivitis

A

Gram stain

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13
Q

Treat uncomplicated G&C infections

A

Ceftriaxone + azithro OR doxy

SHORTER duration

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14
Q

Treat complicated G&C infections

A

LONGER duration

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15
Q

Treat DGI

A

IV ceftriaxone

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16
Q

Treat epidydimitis & PID

A

Ceftriaxone + doxy

17
Q

Possible complication from untreated urethritis

A

Epididymitis

18
Q

Which bug should you be thinking of for painless sore on genitals that is healing, flat lesions elsewhere on the body (including palms+soles) , and “fullness in the groin”

A

T.pallidum = syphilis

19
Q

What is chancroid? What bug causes it?

A

H.ducreyi = GN cocco-bacillus
Painful lesions
- Multiple ulcers at different stages of maturation
Painful, swollen LNs - may rupture through skin if remains untreated

20
Q

What is the bug for LGV?

A

Chlamydia trachomatis L1-3

21
Q

Describe LGV presentation

A

Swollen pelvic LNs - draining through skin

By time come to clinic, initial genital sores probably gone

22
Q

What is a complication of LGV that may present with it?

A

Proctitis

Genital fistulas

23
Q

Treat early syphilis

A

Penicillin single dose
OR
Doxy 14 days

24
Q

Treat late syphilis

A

Same drugs - penicillin or doxy

LONGER duration, need to clear spirochetes out of blood!

25
Q

Treat chancroid

A 
Azithro
OR
Ceftriaxone
OR
Cipro
26
Q

Treat LGV

A

Doxy

HDID Block 2 (39 decks)

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