STDs Flashcards
3 types of vaginosis
Trichomonas
Bacterial Vaginosis (BV)-AKA Hemophilus vaginalis, Gardnerella
Vulvovaginal Candidiasis (VVC)
bacterial vaginosis
- clue cells
- whiff test
- treat with topical/oral metronidazole
candida yeast will show…
hyphae and spores
trichomonas
strawberry cervix, oral metronidaole
Lichen Sclerosis
Flat white/ivory papules, coalesce into plaques
Scarring of labia minora with atrophy and fusion
Stenosis of urethra and introitus
Toxic shock syndrome
Toxin produced by Staphylococcus aureus
related to tampon and diaphragm use
fever, rash, headache, myalgia, sore throat, vomiting, diarrhea, hypotension
Lice
Scabies
Prefer hairy areas, Itch, Mite: pediculosis pubis
Widespread, feet & finger WEBS Night>day itch Mite: sarcoptes scabiei faster moving Burrows and vesicles
treat both with permethrin
herpes
HSV II, treat w/acyclovir
Condyloma Acuminata
Genital/Venereal Warts caused by human papilloma virus (HPV) HPV 6 and 11 cause genital warts *High Risk: 16, 18 Flat-topped or cauliflower-like appearance Podofilox and Imiquimod
gonorhhea
culture on Thayer-Martin (chocolate agar) medium with CO2 environment
treat w/ceftriaxone or cefixime
chlamydia
Obligatory intracellular anaerobe
most cases asymptomatic
treat w/azithromycin
PID
Ascending bacterial infection from vagina and cervix
can be caused from polymicrobic, gonorrhea, chlamydia
main risk factors or PID
previous PID
Primary Syphillus
Hard, painless chancre (genital ulcer)
Secondary Syphillus
red macular-papular rash
PALMS and SOLES
Tertiary Syphilis
aka neurosyphillus
Gummas
Destructive, necrotic, granulomatous lesions of skin and bones
May develop 1-10 years after infection
How to treat syphillus
Treated with IM benzathine penicillin G
Molluscum Contagiosum
Poxvirus, spread by close contact
asymptomatic keratin-filled papules
-central umbilication
-Commonly in groin/lower abdomen
Chancroid
Hemophilus ducreyi -gram negative rod
Lymphogranuloma venereum
Chronic infection of lymphatic tissue
Chlamydia trachomatis
Granuloma Inguinale
Caused by Calymmatobacterium
gram negative bacillus