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obgyn lauren > STDs > Flashcards

STDs Flashcards

1
Q

chlamydia male presentation

A 
urethritis
epididymitis
prostatitis
proctitis
conjunctivitis
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2
Q

chlamydia female sx

A

cervicitis
PID
perihepatitis
tubo-ovarian abscess

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3
Q

chlamydia diagnosis

A

clinical

nucleic acid amplification test swab (NAAT)

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4
Q

chlamydia treatment

A

doxy 100 mg BID x7days
OR 1 dose of 1 g azithromycin

TREAT PARTNER

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5
Q

male sx of gonorrhea

A

purulent penile discharge
epididymitis
prostatitis
*more severe than chlamydia

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6
Q

arthritis-dermatitis syndrome

A

polyarthralgia
tenosynovitis
dermatitis
associated with disseminated gonococcal infection

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7
Q

disseminated gonococcal infection sx

A

arthritis-dermatitis syndrome
purulent arthritis
endocarditis and meningitis (both rare)

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8
Q

gonorrhea diagnosis

A

Gram stain and cx (gram negative diplococci)

NAAT

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9
Q

gonorrhea tx

A

TREAT PARTNERS
ceftriaxone 500mg IM (1 dose)
+ chlamydia tx (azithro or doxy)

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10
Q

HSV-1

A

oral lesions

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11
Q

HSV-2

A

genital lesions

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12
Q

most common etiology of genital ulcer worldwide

A

HSV-2

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13
Q

primary HSV-2 sx

A

more severe and can last 2-4 weeks
local sx or pain and itching of lesions
fever, headache, myalgia

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14
Q

recurrent HSV-2 infection

A

milder than initial episode
prodrome of tingling the day before
painful ulcers

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15
Q

HSV diagnosis

A

PCR/NAAT is the best choice (serology and cx not as sensitive)

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16
Q

HSV treatment

A

Acyclovir or famciclovir or valacyclovir x7-10 days

17
Q

HSV episodic treatment

A

start tx when prodromal sx start

18
Q

trichomonas vaginalis

A

protozoa that is flagellated

only seen in those who have sexy time with the ladies

19
Q

trichomonas male sx

A

often asymptomatic
can cause urethritis
increased risk of acquiring HIV

20
Q

trichomonas female sx

A

vaginitis
cervicitis (strawberry cervix)
irritation
frothy malodorous discharge

21
Q

trichomonas diagnosis

A

wet mount

NAAT

22
Q

trichomonas tx women

A

TREAT PARTNERS TOO

metronidazole 500 mg BID x7 days

23
Q

trichomonas tx women

A

TREAT PARTNERS TOO

metronidazole 500 mg BID x7 days

24
Q

trichomonas men tx

A

TREAT PARTNERS

metronidazole 2 g PO x 1 dose

25
Q

chlamydia biology

A

obligate intracellular bacteria

26
Q

chlamydia serovars

A

trachoma (eye) ABC
genital tract/conjunctivitis D-K
LGV treated longer

27
Q

most common bacterial STI in US

A

chlamydia

obgyn lauren (3 decks)

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