STI

Question 1

Cause:

Answer 1

Most prevalent communicable diseases in USA
HPV
15-24
Gay men = high risk and minorities
4 most common → chlamydia , gonownea, syphilis, and trick
Untreated STD in women → PID
HPV → most common virus STI
Untreated STD in men → prostitis → increase risk prostate cancer
* most serious HIV

Question 2

Patho

Question 3

Clinical presentation:

Answer 3

Subjective:
Warts
Lesions
Abnormal vaginal/ denial discharge
Lymph paths
ABD/ pelvic pain
Dysuria
Abnormal bleeding
Itchiness

Objective.
Redness
Swelling
Odorless
Purlant discharge
Pain on palpation

Question 4

Diagnostic test:

Answer 4

Nonpregnant high risk = annual screening
Pregnant =HBV,HIV, and syphilis
Cervical cancer screening @21

Men engaging in high-risk behavior screened for HIV and syphilis
*HIV 15-65
Microscopy, culture, nuclecic acid amplification testing (NAAT)

Question 5

Management:

Answer 5

Prevention
ABX 
Antivirals
Education sexual partners to be treated
60 days for chalimida and gorrona
Expedited partner therapy

Question 6

Flu and referral

Answer 6

Retest if symptoms persist
If compliance is an issue → treat in office
* Required reporting for HIV, AIDS, syphilis, gonorrhea, chancroid and chalmydia
Education →
Risk reducing behaviors
Support groups with viral STD