Lower Genital Tract Infections Flashcards
What must be ruled out in patients over 40 with multiple recurrences of bartholin’s gland ABSCESSES?
Adenocarcinoma
MOST contagious STI
Lice (pediculosis pubis, crab louse, pthirus pubis)
Primary sx of lice (pediculosis pubis, crab louse, pthirus pubis)
Constant itching (2/2 allergic sensitization)
Tx for Lice (pediculosis pubis, crab louse, pthirus pubis)
Permethrin (Nix)
Lindane (Kwell)
Primary sx of scabies (itch mite), sarcoptes scabei
Severe intermittent itching
What populations cannot take Lindane (Kwell)?
Pregnant or lactating women
Children under 2 years
Tx for Primary sx of scabies (itch mite), sarcoptes scabei
Permethrin (Nix)
Lindane (Kwell)
Aka “water wart”
Molluscum contagiosum, pox virus
How contagious is Molluscum contagiosum, pox virus?
Mildly
Describe the nodules of Molluscum contagiosum, pox virus
“Water wart”
The more mature nodules have an umbilicated center
How is Molluscum contagiosum (pox virus) diagnosed?
Intracytoplasmic molluscum bodies with WRIGHT’s or GIEMSA STAIN confirm the diagnosis
What is a major complication of Molluscum contagiosum (pox virus)?
Bacterial superinfection
Tx of Molluscum contagiosum (pox virus)
Local anesthesia injection followed by evacuation of the caseous material and excise the nodule with a sharp dermal curet
Treat the base with Monsel’s or 885% TCA
Also use electrocautery or cyrosurgery
How contagious is condyloma acuminatum (HPV)?
Highly, 25-65%
High risk HPV strains
16 and 18
HPV types that are found in benign lesions
HPV 6 and 11
How is HPV spread?
Sexually or auto-inoculation
Incubation period for HPV
Long, 1-8 months
Where is genital HPV found?
Cervix - 70%
Vulva - 25%
Anus - 20%
Vagina - 10%