STD Flashcards
Urethritis in Men
N.gonorrhea C. trachomatis M. genitalium U. urealyticum T. vaginalis
urethral discharge, dysuria, w/o frequency
Treatment for urethritis
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
Epididymitis
C. trachomatis
N. gonorrhea (less common)
unilateral pain
swelling and tenderness of the epididymis
Treatment for epididymitis
Ceftriaxone 250 mg IM PLUS Doxycycline 100 mg BID for 10 days
Levofloxacin 500 mg BID OD for 10 days (for enterobacteriaceae)
Mucopurulent cervicitis
N. gonorrhea
C. trachomatis
M. genitalium
presence of yellow mucopurulent discharge from the cervical os
Pelvic Inflammatory Disease (PID)
N. gonorrhea
C. trachomatis
ACUTE PID
lower abdominal pain < 3 weeks duration
pelvic tenderness on bimanual examination
evidence of lower genital tract infection
Treatment for PID
OUTPATIENT
- Ceftriaxone 250 mg IM PLUS
- Doxycycline 100 mg PO BID for 14 days PLUS
- Metronidazole 500 mg PO BID for 7 days
INPATIENT
Regimen A
- Cefotetan 2 g IV q 12 OR Cefoxitin 2 g IV q6 PLUS
- Doxcycline 100 mg IV or PO q12
Regimen B
- Clindamycin 900 mg IV q8 PLUS
- Gentamicin 1.5 mg/kg q8
continue parenteral therapy until 48 hrs after clinical improvement then change to outpatient regimen
Vulvovaginal candidiasis
C. albicans
vulvar itching and/or irritation
scanty white, clumped discharge
Treatment for candidiasis
Fluconazole 150 mg PO single dose
Azole cream, tab or suppository - miconazole, clotrimazole
Trichomonal vaginitis
T. vaginalis
vulvar itching
profuse white or yellow discharge
Treatment for vaginitis
Metronidazole 500 mg PO BID for 7 days
Bacterial vaginitis
Gardnerella vaginalis
malodorous
slightly inc discharge
CLUE CELLS - vaginal epithelial cells coated w/ cocobaciliary organisms giving them a granular appearance
Treatment for vaginosis
Metronidazole 50 mg PO BID for 7 days
Herpes
HSV
erythematous ulcers
firm, TENDER and bilateral lymph nodes
Treatment for herpes
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
Chancroid
H. ducreyi
undermined, ragged and irregular ulcers
TENDER , suppurate, loculated, unilateral lymph nodes
Lymphogranuloma venereum
C. trachomatis
elevated, round or oval ulcers
TENDER , suppurate, loculated, unilateral lymph nodes
Donovanosis
K. granulomatosis
elevated, irregular ulcers
pseudobuboes
Treatment for chancroid
Ciprofloxacin 500 mg PO single dose
OR
Ceftriaxone 250 mg IM single dose
OR
Azithromycin 1 g PO single dose
Treatment for lymphogranuloma venereum
Doxycycline 100 mg PO BID for 21 days
Treatment for donovanosis
Doxycycline 100 mg BID for at least 3 weeks and until all lesions have completely healed
Primary Syphilis
sharply demarcated, elevated and round ulcers
bilateral, firm and NONTENDER lymph nodes
Secondary Syphilis
generalized, symmetric, NON-PRURITIC mucocutaneous lesions
affects PALMS and SOLES
CONDYLOMA LATA
Tertiary Syphilis
cardiosyphilis
gumma
Treatment for Primary and Secondary Syphilis
Benzathine penicillin 2.4 million units IM single dose
OR
Doxycycline 100 mg BID for 14 days
Treatment for Tertiary Syphilis
Benzathine penicillin 2.4 million units IM once weekly
