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STEP 2 Cardio + Renal > Renal. STD (07-26) (1) > Flashcards

Renal. STD (07-26) (1) Flashcards

1
Q

Chlamydia the most common STD

A

.

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2
Q

Chlamydia. what infects Ch. trachomatis? 4

A

genital tract
urethra
anus
eye

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3
Q

Chlamydia. risk factors?

A

unprotected sex
new partner
multiple partners

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4
Q

Chlamydia. coexists OR mimic what infection?

A

N. gonorrhea

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5
Q

Chlamydia. what serovars of this m/o cause proctocolitis?

A

lymphogranuloma venereum (LGV) serovars of C trachomatis cause LGV, an emerging cause of proctocolitis.

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6
Q

Chlamydia. often symptom in males?

A

often asymtomatic

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7
Q

Chlamydia. symptoms in females? 3

A

urethritis, mucopurulent cervicitis, PID

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8
Q

Chlamydia. examination findings of women?

A

cervical/adnexal tenderness

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9
Q

Chlamydia. examination findings in men?

A

penile discharge and testicular tenderness

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10
Q

Chlamydia. differential?

A

gonorrhoe, endometriosis, PID, orchitis, vaginitis, UTI

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11
Q

Chlamydia. how presents in primary form LGV?

A

painless, transient papule or shallow ulcer

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12
Q

Chlamydia. how presents in secondary form LGV?

A

painfull swelling of the inguinal nodes

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13
Q

Chlamydia. how presents in tertiary form LGV?

A

can present as ,,anogenital syndrome” = anal pruritus with discharge, rectal strictures, rectovaginal fistula, elephantiasis

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14
Q

Chlamydia. gold standard diagnostics?

A

CULTURE

but diagnosis usually clinical

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15
Q

Chlamydia. what urine test for rapid detection?

A

nucleic acid amplification test

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16
Q

Chlamydia. what urine test for take 48-72h?

A

immunofluorescence (same for gonorrhea)

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17
Q

Chlamydia. what shows gram staining?

A

urethral and genital discharges
Shows PMN leukocytes but no bacteria - Chalmydia is INTRACELLUAR

18
Q

Chlamydia. treatment? nonpregnant

A

Doxycycline 7d
or
Azithromycin once

19
Q

Chlamydia. treatment? pregnant

A

Azithromycin or amoxicillin

20
Q

Chlamydia. also treat sexual partners.!!

A

.

21
Q

Chlamydia. about what aspect when prescribe treatment need to think?

A

treat for concurrent N. gonorrhea, because it often coexists with chalmydia

22
Q

Chlamydia. in case of LGV serovars - how long treat?

A

require prolonged treatment, for 21 day.

23
Q

Chlamydia.key fact. what parts of the body infect?

A

arthritis, neonatal conjuctivitis, pneumonia, nongonococcal urethritis, PID, LGV.

24
Q

Chlamydia. complications?

A

chronic infection and pelvic pain
Reiter syndrome
Fitzh-Hugh-Curtis syndrome

25
Q

Chlamydia. what is Reiter syndrome?

A

Complication

urethritis + conjuctivitis + arthritis

26
Q

Chlamydia. what is Fitzh-Hugh-Curtis syndrome?

A

complication

perihepatic inflammation and fibrosis

buvo foto FHC in PID - adhesions from peritoneum to surface of liver

27
Q

Chlamydia. prominent complications in women?

A

ectopic pregnancy/infertility can result from PID

28
Q

Chlamydia. prominent complication in men?

A

epididymitis

29
Q

Gonorrhea. what mo?

A

gram negative intracellular diplococcus.

30
Q

Gonorrhea. what part infect in women and what in men?

A

in women - can infect almost any part

in men - tends to be limited to the urethra

31
Q

Gonorrhea. presentation? women

A

greenish-yellow discharge, pelvic or adnexal pain, swollen Bartholin glands.

32
Q

Gonorrhea. presentation? men

A

purulent urethral discharge, dysuria, erythema of urethral meatus

33
Q

Gonorrhea. differential?

A

chalmydia, endometriosis, pharyngitis
PID, vaginitis, UTI, salpingitis, tubo-ovarian abscess

34
Q

Gonorrhea. gold standard diagnosis?

A

gram stain and culture for any site (pharynx, cervix, urethra, anus)

35
Q

Gonorrhea. what urine test for diagnosis?

A

nucleic acid amplification (rapid answer)

penile/vaginal tissue or from urine

36
Q

Gonorrhea. presentation of disseminated disease?

A

monoarticular septic arthritis, rash, tenosynovitis

37
Q

Gonorrhea. treatment?

A

Ceftriaxone i/m and azitromycin p/o (regardless of whether chalmydia present)

38
Q

Gonorrhea. effective prophylaxis?

A

condoms

39
Q

Gonorrhea. also treat sexual partner

A

.

40
Q

Gonorrhea. why dont use fluoroquinolones?

A

due to emerging resistance

41
Q

Gonorrhea. disseminated disease treatment?

A

IV cextriaxone for at least 24 h.

42
Q

Gonorrhea. complications.

A

Persistent infection with pain

infertility
tubo-ovariant abscess with rupture
disseminated disease (migratory polyarthralgia, tenosynovitis, pustular skin lesions)

STEP 2 Cardio + Renal (26 decks)

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