STD study c Kelly Flashcards
Painless chancre
syphillis
syphilis stage two
flu like symptoms
latent phase syphilis
sero +
asymptimatic
Thayer-martin media is used for cervical culture of
gonorrhea
Name two STD with painful lesion
herpes
chancroid (rule out when people have genital ulcers, co-factor for HIV, gram - bacalli, bacterial)
A patient with genital ulcer and a quail size egg in the lymph node/groin (bubu)
consider chancroid
Three genital ulcers can be caused by
chancroid
herpes
syphilis
HSV 1
lips
oral mucosa
face
Transmission of herpes
direct contact of active lesions
or virus containing fluids including spit and sexual fluids
Initial signs/symptoms of herpes
painful pruritic ulcer
dysurea
fever
How long do herpes ulcer usually last?
5 days
How do you diagnose herpes?
viral culture
PharmacologicTreatment of herpes
valtrex (suppressive transmission)
acyclovir
Frothy like a latte,
strawberry patches on the cervic and vagina
preperation medium NS, mobile trichamonads on the slide
trich
treat with metronidazole (flagyl)
fishy, clue cells look like squamous epithelial cells with poorly defined borders, NS is the medium used
BV
treat with metronidazole (flagyl)
thick curdy, KOH and you see pseudoyphae
treated with what?
candida
MICONazole (antifungal)
top four causes of dysparunia
chlamydia & trich
PID
menopause
PID exam findings
adnexal tenderness
cervical motion tenderness
STDs that cause dysparunea
trich and chlamydia
MICONazole is used for the treatment of what vulvovaginitis problem identified by pseudo hyphae with KOH?
candidiasis
Gonerrgea is a gram negative bacteria seen with Thayer-martin media, that can cause what in females?
infertility
What is the causitive organism of syphilis
treponema pallidum
Secondary stage of syphilis includes rash on
rash on hands and soles of feet and flu-like symptoms
Treatment for syphillis?
What if PCN allergic?
PCN G
doxycycline or erythromycin
