Lower and upper gynecological infections Flashcards
how is syphilis diagnosed?
- serology
- darkfield exam or direct immunofluorescence
how is herpes diagnosed?
- culture
- antigen for HSV (serology)
how is chancroid diagnosed?
culture for H. ducreyi
gram stain and morphology of h. ducreyi
gram negative streptobacillus
chancroid features for diagnosis / rule out
- painful genital ulcer
- inguinal LAN
- no e/o syphilis or HSV
treatment for chancroid
- azithromycin
- ceftriaxone
- ciprofloxacin
- erythromycin
what is the most common STI in women?
HSV
why is HSV typing important?
people who have HSV1 have a much lower risk of recurrent herpes infections than in HSV2
primary HSV definition
what does this mean for pregnancy?
- no Abs to HSV1 and HSV2 when genital HSV diagnosed
most dangerous for transmission to baby
are syphilitic chancres painful or painless?
painless
in a patient with syphilis you should also test for what disease?
HIV
treatment for non-pregnant patients allergic to PCN?
- doxycycline
- tetracycline
- ceftriaxone
- azithromycin
treatment for pregnant patients allergic to PCN?
DESENSITIZE
in patient, oral regimen easier and safer, takes 4 hours, observe for 30 minutes before parenteral administration
symptoms of neonatal chlamydia infection
- conjunctivitis 5-12 days after birth
- pneumonia
symptoms of disseminated gonococcal infection
- petechial or pustular acral skin lesions
- asymmetrical arthralgia
- tenosynovitis
- septic arthritis
