STDs Flashcards
Chlamydia Sx in Men
Often Asymptomatic
- Urethral d/c
- Dysuria, testicular pain or swelling
- Inguinal adenopathy
Chlamydia Tx
Azythromycin: 1g PO x1
or
Doxycycline: 100 mg PO bid x 7 days
Report to Health Department
Chancroid Sx in Women
Usually asymptomatic
Chancroid Sx in Men
Often asymptomatic
-Single (though may be multiple) superficial, painful ulcer surrounded by an erythematous halo.
Chancroid Tx
Azithromycin: 1g PO x 1 or Ceftriaxone: 250 mg IM x 1 or Ciprofloxacin 500 mg PO bid x 3 days
Condyloma Acuminata (Genital Warts) Sx
Single or multiple soft, fleshing, papillary or sessile, painless keratinized growths around the anus, vulvovaginal area, penis or perineum, or no symptoms
Condyloma Acuminata Tx
Keratolyic agents: Podophyllin, trichloroacetic acid, or bichloroacetic acid
Refer for cryotherapy, laser therapy, electrocautery, or excision
Gonorrhea Sx in Women
Abnormal vaginal d/c
Abnormal menses
Dysuria
Pelvic pain
Gonorrhea Sx Men
Dysuria Inc. frequency Purulent penile d/c testicular pain OR No Sx
Gonorrhea Tx
Ceftriaxone: 250 mg IM x 1
plus
Azithromycin: 1g PO x1 to cover chlamydia
Report to Health Department
Herpes Genitalis
Single or multiple vesicles usually pruritic and rupture spontaneously to form shallow ulcers that may be very painful.
Fever, chills, malaise, headache, dysuria, and dyspareunia
Herpes Genitalis Tx
No cure
Symptomatic Tx with drying and antipruritic agents
Acyclovir recommended for topical, oral and IV use
Lymphogranuloma Venereum Sx
2-3mm painless vesicle, bubo or non-indurated ulcer followed by regional lymphadenopathy.
Lymphogranuloma Venereum Tx
Doxycycline
Chlamydia Sx in Women
Dysuria, mucopurulent vaginal discharge
Lower abd pain
Dyspareunia
Inguinal lymphadenopathy
Molluscum Contagiosum
1-5 mm lesions which are smooth, rounded, firm, fleshy-colored, or pearly-white papules
Molluscum Contagiosum Tx
Cryoanesthesia with liquid nitrogen
Primary Syphilis Sx
Painless Chancre, indurated ulcer
Secondary Syphilis Sx
Highly variable rash on the palmar and plantar surfaces; mucous patches
Latent Syphilis Sx
Seropositive, but asymptomatic
Tertiary Syphilis Sx
Multisystem involvement
Tx for Primary, secondary, or early syphilis of less than 1 year duration
Benzathine Penicillin G 2.4 million units IM.
Tx for Late, latent and indeterminate length; tertiary stage
Benzathine Penicillin G 2.4 million units IM weekly x 3 weeks
Penicillin allergic Tx for syphillis
Doxycycline: 100mg PO bid
or
Erythromycin 500mg PO qid
