STD pg2 to Mental health pg3 Flashcards

1
Q

Chancre DDx

A

Clamydia -Painful (Soft) “weepy”
Chancroid - Painful (Soft) “Bloody”
Syphilis - Painless (Hard)

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2
Q

Chlamydia DDx

A

Chlamydia
Lymphogranuloma Venereum
PID
Reiter’s disease (feet)

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3
Q

Asymptomatic Female DDx

A

Chlamydia
Gonorrhea (knee)
Human Papilloma virus (HPV)

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4
Q

Asymptomatic Male DDx

A

Trichomonas

Canidia albicans

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5
Q
Discharge DDx
Gonorrhea -
Trichomonas - 
Chronic vaginitis - 
Candidiasis - 
Herpes - 
Chlamydia -
A
Gonorrhea - Copius & clear
Trichomonas - Frothy, foul & itchy
Chronic vaginitis - Foul & itchy
Candidiasis - Curdy & itchy
Herpes -  Watery
Chlamydia - Yellow
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6
Q

Chlamydia

A

MC SDT in US. Yellow, odorless copiusdischarge leads to nongonococcal and nonspecific genitourinary infection (NGU), painful soft lesions, Reiter’s (feet). Asymptomatic in females

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7
Q

Gonnorrhea

A

Neisseria gonorrhea, tonsillitis, pharyntgitis -> arthritis(knee), gram negative Coipious clear discharge from the urethra (Skene’s& Bartholin’s glands) Male (urethritis &epididimitis) Female (vaginitis, salpinitis, arthritis)

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8
Q

Herpes

A

painful vessicles, latency, tissue culture, red lesions with yellow oozing center, watery discharge, contagious. Type 1 & 2 recurrent, prodome of itching. Treatment: Valtrex, L-lysine, acyclovir

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9
Q

Trichomonas

A

Trichomonas Vaginalis (Protozoa) Females - greenish yellow, severly itchy, foul discharge. Males - Asymptomatic

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10
Q

Chancroid

A

Haemophilus Ducrey (aka soft chancre). Lesions rapidly ulcerate and beed. large, painful ulcers, pus ->buboes (bloody)

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11
Q

Candidiasis

A

Candida Albicans, thrush, yeast, fungus, moniliasis. Gram Positive, red, itchy & irritable. Female - White cheese material covers vaginal walls. Males - usually asymptomatic , Treatment: Acedophilus and Lactobacillus

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12
Q

Syphilis

A

Treponema Pallidum (Spirochete)There are3 stages, can be congenitaly contracted

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13
Q

Syphilis stage 1

A

Primary (4-8 wks) Painless lesion, hard, indurated, singular

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14
Q

Syphilis stage 2

A

Secondary (appears at 12 weeks) Rash (80%), persists for months. Lymphadenopathy (50%). Condylomata lata (warts). Alopecia (hair loss)

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15
Q

Syphilis stage 3

A

Tertiary (about 1/3 develop if untreated). Gumma (skin, viscera granulomatous lesion). General Paresis (Dementia), Argyll Robertson pupil. Tabes dorsalis, Romberg’s test, Charcot’s joints. FTA -ABS, VDRL, RPR, Wassermann, Darkfield Microscopy

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16
Q

Congenital Syphilis

A

Hutchinson’s triad: saddle nose, interstitial keratosis, peg teeth

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17
Q

Lymphogranuloma Venereum

A

(caused by Chlamydia) Enlarged regional inguinal lymph nodes that may lead to elephantitis and rectal abscesses

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18
Q

Granuloma Inguinale

A

Donovania Granulomatous (Donovans hamburger) painless, velvety, slow going. Bright Beefy red granulomatus lesions. Diagnosis: Giemsa/Wright stain to demonstrate Donovan bodies

19
Q

Genital Warts

A

Human Papiloma Virus (16&18). Condlomata Acuminata cervical dysplasia leads to cervical cancer. Usually small, itchy, cluster(cauliflower), speculum (screen), PAP (confirm - specific test)

20
Q

Molluscum contagiosum

A

Multiple skin tags the exfoliate, waxy papules

21
Q

Pemphigoid

A

Autoimmune - MC type,bulla lesion, lethal middle aged, south americans, IgG (many types)

22
Q

Dermatitis Herpetiformis

A

(aka ichthyosis bullous siemens) Genital and extensor lesions, bulla, vesicles, papules, IgA (tip). Itchy, peeling, blistering, bluten sensitive, hereditary (blacks, Asians)

23
Q

Voluntary Motor

A

Posterior edge frontal lobe & cerebellum

24
Q

Personality, problem solving

A

frontal lobe

25
Somatosensory (temperature, pressure, position)
anterior edge of *parietal* lobes
26
Vision (color & shape)
*Occipital* lobe
27
Auditory & Smell
Superior *temporal* lobe
28
Speech (motor)
Broca's area in *frontal* lobe (left hemisphere)
29
Speech (sensory, planning & understanding)
Wernick's area at junction of *parietal*, temporal, & occipital lobes
30
Biological drives (thirst, hunger)
Hypothalmus
31
Emotions (limbic)
Near corpus callosum & *temporal* lobe
32
Visual & spacial
Right *parietal*
33
Understanding language
Left *parietal*
34
Left Brain Hemisphere Attributes
Analytical, speech, organization, time awareness, visual, needs a reason to follow rules, enjoys sensory stimulation
35
Right Brain Hemisphere Attributes
Intuitive, Music & art appreciation, drawing ability, words to remember, follows rules, likes to observe rather than participate
36
History of mental health Pre and Post 1960s
Pre: Isolation, lobotomies, electronoconculsive shock therapy (ECT) Post: Drugs, therapy, de-instiutionalization
37
Spear's Chiropractic Hospital details
1955 very successful with mental disease
38
Theory of Reasoned Action
Perception + family/friends + beliefs = Action (to go to Chiropractor or nto to go to Chiropractor
39
Communication is based on
Speech, eye contact, body language, body contact and language
40
"Funneling"
combination of open ended and direct questions
41
Hostility has a strong connection to
chronic heart disease
42
*Dementia*
*non reversable* deterioration of cognition and behavior
43
*Delirium*
*often reversable* acute confusion that may fluctuate