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
what is a main consequence of gonococcal infection in infants?
- ophthalmia neonatorum (perforation of the globe and blindness, erythromycin ophthalmic ointment)
what are the diagnostic tests for PID?
- embx with endometritis
- TVUS or MRI (fluid filled tubes, doppler studies with tubual hyperemia)
- laparoscopic findings c/w PID
what did the PEACH trial show?
no difference in reproductive outcomes in women randomized to inpatient vs outpatient treatment
what is donovanosis? what is the cause?
genital ulcerative disease caused by gram negative klebsiella granulomatis
signs and symptoms of donovanosis
what is the treatment?
painless, progressive ulcerative lesions without regional LAN
doxycycline
what is lymphogranuloma venereum?
painless ulcer, unilateral and / or femoral LAN
