STI Flashcards
Viral transmission through genital contact; “common wart”
Asymptomatic genital warts; recurrent respiratory papillomatosis with warts in the throat
Human Papilloma Virus
Topical Immunotherapies (podofilox/imiquimoid)
Cryotherapy/surgical resection
Laser
Intra-lesion interferon
Human Papilloma Virus treatment
Vesicular lesions, ulcers, leucorrhea, dysuria, inguinal adenopathy
Herpes Simplex Virus
How do you diagnosis HSV?
Viral culture
PCR (higher sensitivity)
HSV Assay
Acyclovir
Famciclovir
Valacyclovir
HSV treatment
2nd most common STI in US
Gonorrhea
Urinary frequency, urgency, and burning with urination
Inflammation of Batholian and Skene glands, cervical mucoid discharge (yellow-green), can be asymptomatic until complications occur; penile discharge
Gonorrhea
NAATs
Gonorrhea diagnosis
Cervicitis, urethritis, PID, ectopic pregnancy, infertility, pharyngitis, conjunctivitis
Gonorrhea complications
Ceftriaxone + Azithromycin/Doxycycline
Gonorrhea
Most common STI in US
Chlamydia
Vaginitis, cervicitis, endometriosis, salpingitis, pelvic inflammatory disorder, vaginal discharge or dysuria; urethritis
Chlamydia
NAATs are test of choice
Chlamydia
Azithromycin x1
Doxycycline BID x7d
Chlamydia treatment
What is the leading cause of PID–infertility and chronic pelvic pain?
Chlamydia
Caused by Spirochete Treponema pallidum
Syphilis
Develops 10-90 days after exposure
Single painless chancre at site of inoculation accompanied by regional adenopathy
Primary Syphilis
Develops 4 to 10 weeks after primary infection
Systemic illness with disseminated rash involving palms and soles, fever, malaise, and pharyngitis, hepatitis, mucous patches, condyloma lata, alopecia
Secondary Syphilis
Develops 2 to 19 years after primary infection in untreated individuals
Cardiovascular system or gummatous disease (granulomatous disease of skin and subcutaneous tissues, bones, or viscera)
Tertiary Syphilis