STDs Flashcards
Fever, HA, myalgias, lymphadenopathy
Primary HSV infection
Virus that replicates in the sensory ganglion
HSV
Multinucleated giant cells on Tzanck smear
One of the herpes viruses
Contraindication to breast feeding
HIV
HIV diagnosis in kids older than 18 months
- HIV Elisa
Then confirm with Western Blot
HIV diagnosis in kids younger than 18 months
HIV DNA PCR
Treatment for pneumocystis jiroveci
Bactrim
HIV + with CD4 less than 50
Think MAC/MAI
HIV drug that causes bone marrow suppression (anemia, neutropenia, thrombocytopenia)
Zidovudine
HIV drug that causes pancreatitis
Lamivudine (3TC) or Emtricitabine (FTC) or Didanosine (ddi)
Screen for HLA B*5701 prior to using this HIV drug
Abacavir (Ziagen)
HIV drug to avoid in pregnancy
Efavirenz (Sustiva) or D4T/ddi combo
HIV post exposure prophylaxis requirements:
- Bloody fluid AND
2. Broken skin
Which agar to test for neissera gonorrhea
Thayer-Martin or chocolate agar
Peri hepatitis (Fitz Hugh Curtis) is a complication of
PID
Leading cause of acute septic arthritis in young adults
Disseminated Gonococcal Infection
Triggers dissemination of gonorrhea (get arthritis)
Menstruation
Tx of gonorrhea
Ceftriaxone 250 mg IM x 1 dose + azithromycin 1 g po x 1
Tx of hospitalized PID
Cefoxitin 2 g IV q6 or cefotetan 2 g IV q12 PLUS doxy 100 mg po or IV q12 until improved followed by doxy 100 mg po bid x 14 days total
OR
Clindamycin 900 mg IV q8 + gentamicin 2 mg/kg IV x 1 then gent 1.5 mg/kg IV q8 until improved followed by doxy 100 mg po bid x 14 days total
Indications for hospitalizing PID
- pregnancy
- n/v
- failure to respond to tx in 24-48 hrs
Adolescent with hearing loss
Syphillis
Adolescent with hair loss
Syphillis or lupus
Etiology of chancroid
Haemophilus ducreyi (school of fish)
Painful chancre
Haemophilus ducreyi
Kid goes on spring break to Carribbean and gets painless subcutaneous nodules. Has Donovan bodies on Wright stain
Granuloma inguinale
Tx of trichimoniasis
Metronidazole or tinidazole
