STDs - McCandless Flashcards
Chlamydia - treatment
What else to do?
Side effect? Why?
Azithromycin
Treat sexual partner
GI distress - but MUST give the whole dose at 1 time
Gonorrhea - treatment
What else to do?
Ceftriaxone
Treat sexual partner
Non-gonococcal urethritis - bug potentials
Treatment
Chlamydia, Ureaplasma, Mycoplasma
Azithromycin
Syphilis - treatment
NOT?
What else to do?
Benzathine penicillin G (IM)
NOT other penicillins
Treat sexual partner
Benzathine penicillin G – levels in body over time
Low, but constant for 2 weeks
A pregnant woman is allergic to penicillin. She develops a syphilis infection. Treatment?
Is this permanent?
Penicillin - desensitization process (low dose –> high dose)
NO - must repeat next time
Vulvovaginal candidiasis - treatment (office)
Treatment (home)
Benefit to the second one?
Fluconazole - oral
Miconazole - topical
VERY fast symptoms relief (maybe while fluconazole is doing its job)
Trichomonas - treatment
What else to do?
Metronidazole
Treat sexual partner
Vaginosis (Gardnerella, Mycoplasma… - treatment
What to know? So?
Metronidazole
Recurs frequently – can give prescription to use between office visits
HPV - primary prevention
Gardasil (6, 11, 16, 18)
Pubic lice, crabs, scabies - treatment options
Important to do what else?
Child w/ one of these?
Permethrin (topical)
Ivermectin (oral)
Make sure they wash all clothes and bedding
Permethrin ONLY
Male condoms are better at preventing which type of infection?
So NOT which ones?
Those transmitted by body fluids (gonorrhea, chlamydia, HIV)
HSV, HPV, syphilis, chancroid
HSV will usually present how?
Where are the vesicles?
Coalesced ulcer w/ heaped-up borders
Usually pop w/in 48 hrs
When is HSV MOST virulent?
In the pro-drome when there is lots of itching, etc.
HSV - treatment
Cheapest one? What’s bad about it?
Must do what? Why?
Acyclovir, Famciclovir, Valacyclovir
Acyclovir - must take 5 times per day
Take w/ water (crystallizes in kidney tubules)
Punched-out, sharply-demarcated, heaped-up borders, clean base, painless
Location?
Virulent?
Syphilis chancre (1º)
Inoculation site (anywhere)
YES - do NOT touch it
Multifocal rash on palms/soles that cross skin fold lines
2º syphilis
Soft, fleshy, raised lesions that look like globs of skin in the perianal or vulvovaginal area
Often confused for?
2º syphilis (C. lata)
Hemorrhoids or genital warts
Recurrent UTIs, WBCs on urinalysis, no growth on culture, cobble-stoning and redness on cervix
Chlamydia
Man, cloudy white drip from penis after peeing, burns to urinate, yellow stain on underwear
Chlamydia
Dysuria, yellow discharge, vaginal bleeding, vaginal pain, cervical tenderness
Gonorrhea
20s, purpura/blister on one knee, other joints
Other presentations of this?
Gonorrhea - septic arthritis
Pharyngitis, endocarditis, F-H-C syndrome (PID)
Malodorous, frothy yellow discharge
Treatment?
Trichomonas
Metronidazole
HPV - treatment
Curative?
Removal of warts
NO
Small, round, umbilicated lesions on the body
Molluscum contagiosum
Molluscum-looking lesions on the face?
Cryptococcus (HIV) until proven otherwise
