STD Flashcards

1
Q

Urethritis in Men

N.gonorrhea
C. trachomatis
M. genitalium
U. urealyticum
T. vaginalis
A

urethral discharge, dysuria, w/o frequency

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2
Q

Treatment for urethritis

A

for gonorrhea

Ceftriaxone 250 mg IM OR
Cefpodoxime 400 mg PO OR
Cefixime 400 mg PO

PLUS

chlamydia

Azithromycin 1 g PO single dose OR
Doxycycline 100 mg BID PO for 7 days

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3
Q

Epididymitis

C. trachomatis
N. gonorrhea (less common)

A

unilateral pain

swelling and tenderness of the epididymis

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4
Q

Treatment for epididymitis

A

Ceftriaxone 250 mg IM PLUS Doxycycline 100 mg BID for 10 days

Levofloxacin 500 mg BID OD for 10 days (for enterobacteriaceae)

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5
Q

Mucopurulent cervicitis

N. gonorrhea
C. trachomatis
M. genitalium

A

presence of yellow mucopurulent discharge from the cervical os

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6
Q

Pelvic Inflammatory Disease (PID)

N. gonorrhea
C. trachomatis

A

ACUTE PID

lower abdominal pain < 3 weeks duration
pelvic tenderness on bimanual examination
evidence of lower genital tract infection

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7
Q

Treatment for PID

A

OUTPATIENT

  1. Ceftriaxone 250 mg IM PLUS
  2. Doxycycline 100 mg PO BID for 14 days PLUS
  3. Metronidazole 500 mg PO BID for 7 days

INPATIENT

Regimen A

  1. Cefotetan 2 g IV q 12 OR Cefoxitin 2 g IV q6 PLUS
  2. Doxcycline 100 mg IV or PO q12

Regimen B

  1. Clindamycin 900 mg IV q8 PLUS
  2. Gentamicin 1.5 mg/kg q8

continue parenteral therapy until 48 hrs after clinical improvement then change to outpatient regimen

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8
Q

Vulvovaginal candidiasis

C. albicans

A

vulvar itching and/or irritation

scanty white, clumped discharge

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9
Q

Treatment for candidiasis

A

Fluconazole 150 mg PO single dose

Azole cream, tab or suppository - miconazole, clotrimazole

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10
Q

Trichomonal vaginitis

T. vaginalis

A

vulvar itching

profuse white or yellow discharge

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11
Q

Treatment for vaginitis

A

Metronidazole 500 mg PO BID for 7 days

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12
Q

Bacterial vaginitis

Gardnerella vaginalis

A

malodorous
slightly inc discharge
CLUE CELLS - vaginal epithelial cells coated w/ cocobaciliary organisms giving them a granular appearance

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13
Q

Treatment for vaginosis

A

Metronidazole 50 mg PO BID for 7 days

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14
Q

Herpes

HSV

A

erythematous ulcers

firm, TENDER and bilateral lymph nodes

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15
Q

Treatment for herpes

A

Acyclovir 400 mg PO TID for 7 days OR
200 mg PO 5x a day for 7-10 days
OR

Valacyclovir 1 g PO BID for 7-10 days OR

Famcivlovir 250 mg TID for 7-10 days

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16
Q

Chancroid

H. ducreyi

A

undermined, ragged and irregular ulcers

TENDER , suppurate, loculated, unilateral lymph nodes

17
Q

Lymphogranuloma venereum

C. trachomatis

A

elevated, round or oval ulcers

TENDER , suppurate, loculated, unilateral lymph nodes

18
Q

Donovanosis

K. granulomatosis

A

elevated, irregular ulcers

pseudobuboes

19
Q

Treatment for chancroid

A

Ciprofloxacin 500 mg PO single dose

OR

Ceftriaxone 250 mg IM single dose

OR

Azithromycin 1 g PO single dose

20
Q

Treatment for lymphogranuloma venereum

A

Doxycycline 100 mg PO BID for 21 days

21
Q

Treatment for donovanosis

A

Doxycycline 100 mg BID for at least 3 weeks and until all lesions have completely healed

22
Q

Primary Syphilis

A

sharply demarcated, elevated and round ulcers

bilateral, firm and NONTENDER lymph nodes

23
Q

Secondary Syphilis

A

generalized, symmetric, NON-PRURITIC mucocutaneous lesions

affects PALMS and SOLES

CONDYLOMA LATA

24
Q

Tertiary Syphilis

A

cardiosyphilis

gumma

25
Treatment for Primary and Secondary Syphilis
Benzathine penicillin 2.4 million units IM single dose OR Doxycycline 100 mg BID for 14 days
26
Treatment for Tertiary Syphilis
Benzathine penicillin 2.4 million units IM once weekly