STD Flashcards
Green vaginal discharge
Gonorrhea
Gonorrhea
Asymptomatic
Dysuria
W - Mucopurulent vaginal discharge - green/fluourescent
Gonorrhea - labs
Gram stain -
Gonorrhea - treatment
Ceftriaxone IM
Reporting to the health department (3)
Gonorrhea
Chlamydia
Syphilis
Syphilis - treponema pallidum
3rd most commonly reported infectious disease
Syphilis - s/s
Primary
Chancre is painless
Indurated ulcer
Located at the site of exposure
Syphilis - labs
VDRL/RPR
Treponemal
Syphilis - managmenet
PCN G
If PCN allergy - doxycycline or erythromycin
Chlamydia - trachomatis
Parasitic STD
Chlamydia - s/s
dysparenuia - painful intercourse
thick, cloudy penile discharge
testicular pain
Chlamydia - labs
Culture is definitive (3-9 days)
EIA -
Chlamydia - treatment
azithromycin
doxycycline
alternatives
Dysparenuia
painful intercourse
- chlamydia
- PID
- Tric
- menopause
Co-treat Chlamydia and Gonorrhea
Azithromycin 1000mg PO +
Ceftriaxone IM 250mg IM
Herpes
“hurts”
recurrent VIRAL
HSV 1
HSV 2
face
genitalia
Herpes - management
-vir
acyclovir
valacyclovir
famciclovir
Vulvovaginitis
- trichomonas
Malodorous, frothy yellowish-green discharge
pruritus
vaginal erythema
strawberry patches
wet-prep: motile trichomonads
Metronidazole 2g once
Vulvovaginitis
- BV
“fishy”
watery gray discharge
vaginal spotting
wet-prep: CLUE cells
metronidazole 2g once
clindamycin cream
Vulvovaginitis
- Candidiasis
Thick, white, curd-like discharge
Erythema with pruritus
KOH - pseudo hyphae
Miconazole intravaginally
terconazole x 3 days
butaconazole - 3 applications
Chancroid - Hemophilus ducreyi
Gram-negative bacillus
painful ulcer - surrounded by erythematous halo
lymphadenopathy
Chancroid - Hemophilus ducreyi
definitive morphologically
Chancroid - Hemophilus ducreyi
Azithromycin 1g PO OR
Ceftriaxone 250mg IM OR
Cirpo 500 mg BID x 3 days
