STD Flashcards
What types of HPV cause condyloma acuminate
Types 6 and 11
How do you diagnose condyloma acuminate
Usually by inspection
Can use acetic acid and will appear white
How do you treat condyloma acuminate
Cryotherapy, laser, local excision
Can use topical Podofilox
Can you cure Genital herpes?
No
Name the diagnosis.
A patient comes to you with flu like symptoms they noticed a burning sensation in the vaginal area a few days ago and now have these vesicles and painful ulcers that are crusting over
Genital herpes
How do you diagnose genital herpes
Confirm with viral culture or PCR
Treatment for Genital herpes
Antivirals with breakouts such as acyclovir or valacyclovir
What is known as an infectious inflammation of the cervix
Cervicitis
What bacteria is most likely to cause Cervicitis
Chlamydia trichomonas then neisseria gonorrhea
Need the diagnosis.
The patient comes to you with vaginal discharge and bleeding after sexual intercourse she’s also noticed some frequency and dysuria with urination. On exam you noticed a purelent discharge from the cervix and the cervix is also erythematous, edematous, and friable
Cervicitis
How do you diagnose Cervicitis
Based on signs and symptoms but to determine cause obtain a specimen
How do you treat Cervicitis
At minimum cover chlamydia and gonorrhea
Chlamydia: azithromycin 1g PO
Gonorrhea: ceftriaxone 250mg IM
Do sexual partners need treated for Cervicitis
Yes
If a patient is diagnosed with Cervicitis and they are pregnant what do you need to do for them after treatment?
Test them again to make sure they are cured
If Cervicitis is chronic what is it due to?
Usually mechanical or chemical irritation
How do you treat chronic Cervicitis
Removal of offending agent
What two bacteria normally causes pelvic inflammatory disease?
N. Gonorrhea
C. Trichomatas
Where does public inflammatory disease normally start at?
Cervicitis with an STD
What disease can include endometriosis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis
Pelvic inflammatory disease
What is known to reduce the risk of developing pelvic inflammatory disease
OCPs
How do you diagnose pelvic inflammatory disease
Uterine, adnexal, or cervical motion tenderness
Need one more to diagnose:
1. Fever of 101
2. Purulent/mucopurulent drainage
3. diagnostic studies of
Abundant white blood cells on wet prep, elevated ESR, positive gonorrhea or trichomonas test
How do you treat pelvic inflammatory disease
Ceftriaxone 250 IM +
Doxycycline 100 mg
With or without
Metronidazole 500 mg
Inpatient treatment of pelvic inflammatory disease
Cefotetan 2g IV +
Doxycycline 100 mg
If you were diagnosed with pelvic inflammatory disease do your partners need treated?
Yes, any sexual partner with in the past 60 days of diagnosis
Do women who are diagnosed with public inflammatory disease and test positive for gonorrhea or trachomatis need to be retested?
Yes
When should patients be screened for chlamydia and gonorrhea
Sexually active women <25 annually
Sexually active women >25 at high risk
Pregnant women in their first trimester
What is Fitz Hugh Curtis syndrome
Perihepatitis from ascending infection of pelvic inflammatory disease. Often presents with RUQ pain and tenderness and elevated LFTs
Name the public inflammatory disease problem.
Obstruction of fimbria and distention of fallopian tube with fluid. Can cause pelvic pressure and infertility
Hydrosalpinx
Name the pelvic inflammatory disease.
Can occur with acute or chronic infection patient will present with severe pain, fever, and peritoneal signs. This can rupture causing septic shock
Tubo overian abscess
Name the pelvic inflammatory disease.
Perihepitis from ascending infection. RUQ pain with elevated LFTs
Fitz Hugh Curtis syndrome
Name the pelvic inflammatory disease.
May cause tubal scarring and adhesions, commonly result in chronic pelvic pain and infertility
Salpingitis
