Reproductive infections Flashcards

1
Q

PID- Eti

A
  • Polymicrobial infection of upper tract
  • Young, nulliparous, multiple sex partners
  • Tb in developing countries
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2
Q

PID- Sx

A
  • Uterine, adenexal & cervical motion tenderness
  • Abnormal discharge
  • Systemic sx
  • RUQ pain
  • Absence of competing dx
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3
Q

PID- Dx

A

Min dx criteria: Uterine, adenxal or CMT

- Increased temp, ban discharge, ESR, CRP adds to dx

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4
Q

PID- Tx

A
  • Tx sex partner

- Cefoxitin, probenicid & doxycycline + metronidazole

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5
Q

Gonorrhea- Eti

A
  • Neisseria gonorrrhoeae
  • STD
  • 15 - 29 YO
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6
Q

Gonorrhea- Sx

A
  • Asymptomatic
  • Copious discharge
  • Dysuria, frequency & urgency
  • Progression to cervicitis, conjunctivitis
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7
Q

Gonorrhea- Dx

A

-NAAT swab

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8
Q

Gonorrhea- Tx

A
  • Ceftriaxone +

- Azithromycin or doxycycline

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9
Q

Syphillis- Eti

A
  • Treponema pallidum, spirochete
  • Sexual contact
  • MSM
  • Rate is increasing
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10
Q

Syphillis- Sx

A

1- painless chancre on genitalia, lymph enlargement
2- Maculopapular rash, lesions, weeping papules, fever, lymphadenopathy
3- Tumors, gummas, CNS disorders

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11
Q

Syphillis- Dx

A

VDRL and RPR

  • Enzyme assay & CLIA, PCR
  • Darkfield microscopy
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12
Q

Syphillis- Tx

A

IM penicillin G

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13
Q

Trichomonas vaginalis- Eti

A
  • Protozoan infection
  • Motile trichomonads
  • incubation period of 5 days to 4 weeks
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14
Q

Trichomonas vaginalis- Sx

A
  • Copious vaginal discharge
  • Frothy yellow or green
  • Pruritus, dysuria, abd pain
  • Inflammation of vaginal walls & cervix
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15
Q

Trichomonas vaginalis- Dx

A
  • Wet mount
  • NAAT tests
  • Contaminant with BV
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16
Q

Trichomonas vaginalis- Tx

A

Metronidazole or tinidazole

17
Q

Genital herpes- Eto

A
  • HSV-2
  • Blacks, women, hx of STIs
  • 25% adults have evidence of infection
  • Recur due to stress, trauma or sun exposure
18
Q

Genital herpes- Sx

A
  • Prodrome of burning & tingling
  • Small, grouped vesicles on erythematous base
  • Lesions crust & heal
19
Q

Genital herpes- Dx

A
  • Viral culture, direct fluorescent Ab test

- PCR

20
Q

Genital herpes- Tx

A

Acyclovir

21
Q

Bacterial vaginosis- ETI

A
  • Most freq. cause of vag. discharge

- Complications of pregnancy,

22
Q

Bacterial vaginosis- Sx

A
  • Vaginal discharge with fishy odor
23
Q

Bacterial vaginosis- Dx

A
  • Clinical

- Elevated pH & + sniff test

24
Q

Bacterial vaginosis- Tx

A
  • Metronidazole & clindamycin
25
Q

Condylomata accumulata- Eti

A
  • Gram negative rod, Haemophilus ducreyi

- 4-10 day incubation

26
Q

Condylomata accumulata- Sx

A
  • Chancroid lesion into pustule
  • Tender, heavy foul discharge from pustule
  • Inguinal adenitis
27
Q

Condylomata accumulata- Dx

A
  • Rule out other STIs
28
Q

Condylomata accumulata- Tx

A
  • Hygiene

- Azithromycin, ceftriaxone or cipro

29
Q

Vulvovaginal candidiasis- Eti

A
  • Candida infection
  • Opportunistic pathogen
  • Heat, moisture & occlusive clothing
30
Q

Vulvovaginal candidiasis- Sx

A
  • White, curd like discharge

- Pruritis, vulvovagnial erythema

31
Q

Vulvovaginal candidiasis- Dx

A

KOH prep- hyphae & spores

32
Q

Vulvovaginal candidiasis- Tx

A
  • Miconazole

- Fluconozaole