STD´S Flashcards
Manifestations of chlamydia
may be asymptomatic, dysuria, urinary frequency, dyspareunia, cervical discharge, endocervicitis, inflammations of the rectum and lining of the eye, can infect throat
Manifestation of Gonorrhea
may be asymptomatic, dysuria, urinary frequency, vaginal discharge, dyspareunia, endocervicitis, arthritis, PID, rectal infection
Manifestations of General Herpes
blister-like genital lesions, dysuria, fever, headache, muscle aches, malaise
Manifestation of Syphilis (Primary, secondary, Latent, Tertiary)
Primary: chancre on place of bacteria entrance
Secondary: maculopapular rash, sore throat, lymphadenopathy, flu-like symptoms
Latent: no symptoms; can be infective first 1–2 years of latency, some will go on to develop tertiary infections
Tertiary: tumors of the skin, bones, and liver, CNS symptoms, CV symptoms; usually not reversible
Manifestation of Trichomoniasis
may be asymptomatic, dysuria, urinary frequency, vaginal discharge, dyspareunia, irritation of genital area
Manifestation of Genital Warts
wart-like lesions that are soft, moist, or flesh colored and appear on the vulva and cervix and inside; also surrounding the vagina and anus, sometimes appear in cauliflower-like clusters, and are either raised or flat, and small or large
Vulvovaginal Candidiasis Teaching?
Cotton underwear
Avoidance of irritants
Good body hygiene
Avoidance of douching or super-absorbent tampons
Trichomoniasis is one of the most common causes of vaginal discharge.
a. True
b. False
False
Vulvovaginal candidiasis is one of the most common causes of vaginal discharge.
Chlamydia Treatment?
Antibiotics (doxycycline, azithromycin)
Combination regimen if gonorrhea also present
Screening
Chlamydia Risk Factors
Risk factors: adolescence, multiple sex partners, new sex partner, sex without condom, oral contraceptive use, pregnancy, history of another STI
Gonorrhea Risk Factors?
Risk factors: low socioeconomic status, urban living, single status, inconsistent use of barrier contraceptives, age <20 years, multiple sex partners
Genital Herpes Simplex 1 treatment and how is it transmitted?
Transmission via contact with mucous membranes or breaks in skin with visible or nonvisible lesions
Kissing, sexual contact, and vaginal delivery
Antiretroviral therapy to reduce or suppress symptoms, shedding, and recurrent episodes.
Genital Herpes Simplex 2 Assessment findings and diagnostic
Primary episode (most severe and prolonged): multiple painful vesicular lesions, mucopurulent discharge, superinfection with candida, fever, chills, malaise, dysuria, headache, genital irritation, inguinal tenderness, lymphadenopathy
Recurrent infection (more localized and quicker resolution): tingling, itching, pain, unilateral genital lesions (more localized)
Diagnosis confirmed via viral culture of fluid from vesicle
Syphilis Nursing management?
Therapeutic management:
Benzathine penicillin G IM
Doxycycline if allergic to penicillin
Reevaluation with serologic testing
Syphilis Signs and symptoms (Primary, secondary, Latency, and tertiary)
Primary: chancre, painless bilateral adenopathy
Secondary: flu-like symptoms, rash on trunk, palms, and soles, alopecia, adenopathy
Latency: absence of manifestations, positive serology
Tertiary: life-threatening heart disease, neurologic disease
