Sexually Transmitted Disease Flashcards
Risk Factors
Sexually Active Multiple Partners Previous STD Prostitutes MSM Illicit drugs use
Prevention
Education Efficient diagnosis and treatment Prevention vaccine Report Prevent maternal transmission
Gonorrhea bug
N. gonorrhoeae
Gram negative diplococcus
Gonorrhea in Males
Dysuria
Urinary frequency
Purulent discharge
Gonorrhea in females
80% asymptomatic
Dysuria, discharge, bleeding
Uncomplicated Gonorrhea Treatment
CefTRIAXone IM + Azithromycin POx1 or Doxy PO x7d
Disseminated Gonorrhea Treatment
Traix IM/IV Q24 h –> PO for a total of 7 days
When treating Gonorrhea, you also have to?
Treat for Chlamydia
If you don’t use first line then you have to do a test of cure
Chlamydia bug
C. trachomatis
Oblicate intracellular organism
Chlamydia presentation
Itching
Discharge
50% asymptomatic in men
75% asymptomatic in female
Chlamydia treatment
Azithro POx1 or
Doxy POx7d
Chlamydia Prego Treatment
Azithro PO x1 or
Amox PO TID x7d
Syphilis bug
T. pallidum
Spirochete
Syphilis Stage 1 Primary
Painless
Non-tender
Syphilis Stage 2 Secondary
Non-pruritic rash
Non contagious
Syphilis Stage 3 Latent
Asymptomatic
1 year from infection = contagious
Syphilis Stage 4 Tertiary
Granulomatous lesions
Inflammation of any organ system
Within 25-50% of untreated patient
Neurosyphilis Presentation
Seizures
Speech disturbances
Staggering gait
Shooting pain
Jarisch-Herxheimer Reaction
Acute febrile reaction
Within 24 hr of initial treatment
Primary Secondary or Early Syphilis Treatment
Pen G IM x1
Late or Tertiary Syphilis Treatment
Pen G IM Qwk x 3 wks
Pregnancy Syphilis Treatment
Penicillin
Neurosyphilis Treatment
Aqueous Pen G IV Q4 hr x 10-14 days
Herpes Primary Infection
Systemic
Genital Lesions 2-7d after
Ulceration last 7-14d
Shedding 11-12d
