Lecture 34 - Urinary and Reproductive TI Flashcards
How is cystitis diagnosed clinically and what organism is usually responsible?
Diagnosed if >100,000 bacteria/mL in urine
Usually E. coli (90%)
Why are UTIs more common in women?
Women have a shorter urethra
How is leptospirosis spread? Symptoms?
It is spread in animal urine
Symptoms include jaundice, severe pain, fever, and cause descending UTI
What are the 5 most common STIs in the US &incidence
HPV: 13M
HSV-2: 572K
Trichomoniasis: 6.9M
Chlamydia: 4M
HIV: 32K
How can a person have multiple sexual partners even though he has only had sex once
Includes indirect sex partners, (how many your partner has been with)
What are the classic symptoms of gonorrhea in the male
urethritis (painful urination, pus drip)
Why is gonorrhea much more serious in women than in men
they can get urethritis, vaginitis, cervicitis, salpingitis
Also infertility from fallopian tube scaring
What is the presentation of gonorrhea in newborns
conjunctivitis
How likely is it to acquire gonorrhea from an infected partner
routinely have sex: 75%
one encounter: 50%
What is the most common cause of bacterial meningitis in college-age adults
Meningococcal meningitis
What are the symptoms of bacterial meningitis? Why does it need to be treated immediately?
purple rash, blotchy hemorrages, severe headache, disorientation
can die in <18 hours if untreated
How do you prevent and treat meningitis
prevent with vaccine (MCV4, MPSV4, MenB)
treat with cephalosporins and steroids
What are the symptoms of chlamydia in males and females?
Males: nongonococcal urethritis, epididymitis, prostatitis
Females: urethritis, cervicitis, salpingitis
What are the main 3rd world presentation of Chlamydial infections?
trachoma - eye infection
Why should cephalosporin be included in treatment for chlamydia even though it has no peptidoglycan?
if they have chlamydia it is likely they also have gonorrhea
