Mehl. STDs Neiss. gonorhea, gardenella Flashcards
Neisseria. what discharge?
Causes mucopurulent discharge, same as Chlamydia.
Neisseria. whats on microscopy?
Gram-negative diplococci on light microscopy.
Neisseria. can cause same disease as chalmydia?
PID –> incr. risk for ectopic
Neisseria. what about reactive arthritis?
NO REACTIVE !!!!!!! = only chlamydia!!!
Neisseria. what arthritis it causes?
it causes gonococcal arthritis, which will present
one of two ways on NBME:
Neisseria. gonococcal arthritis. 2 ways. less complex?
1) monoarthritis of the knee;
Neisseria. gonococcal arthritis. 2 ways. more complex?
2) triad of mono- or
polyarthritis + cutaneous papules/pustules + tenosynovitis (inflammation of tendon sheaths; stems like to give deQuervain tenosynovitis).
Neisseria. TX????
Treatment is IM ceftriaxone.
Neisseria. always treat what co-disease?
Always cotreat for Chlamydia.
In other words, if the gram-(-) diplococci are seen
under LM, there’s no way to know if Chlamydia is also there or not since the
latter shows no organisms, so if a patient has Gonorrhea, the proper Tx is IM ceftriaxone, PLUS either oral azithromycin or doxycycline.
Neisseria. If patient develops PID despite having been treated early with ceftriaxone for
Gonorrhea, the answer for why this happened can be …..???
“Hx of improper antibiotic
treatment,” where the patient was supposed to be cotreated for Chlamydia with azithromycin but was only given the ceftriaxone for Gonorrhea.
Neisseria.
- If patient presents with PID who’s septic (i.e., high fever, tachy, high WBCs),
USMLE wants what next step???
“admit to hospital + IV antibiotics,”
NOT the outpatient combo of IM + oral.
Neisseria.
2CK Obgyn form assesses that if an asymptomatic patient comes in after a
partner tested positive for Gonorrhea or Chlamydia, Tx?
give treatment
without waiting for test results.
Neisseria. prophylaxis for conjunctivitis in neonates????
Erythromycin ointment is used
Neisseria. if neonate already has conjuctivitis???? Tx?
give IM cefotaxime (preferred 3rd-gen cephalosporin in
peds if listed).
Gardenella. cause what disease?
bacterial vaginosis.
Gardenella. what rod?
Gram-negative rod
Gardenella. what discharge?
grey/watery discharge.
Gardenella. positive what test?
Positive whiff test (KOH prep causes fish-like odor).
Gardenella. HY finding??
- Clue cells exceedingly HY (squamous epithelial cells studded with bacteria). They want you to know this image for USMLE: klasikine fotke su lastelem melynom
