STI Flashcards
- neutrophils & mixed flora
- asymptomatic; Odorless mucopurulent vaginal discharge
- cervical discharge or friable
chlamydia in female
- mild to moderate clear/sticky urethral discharge
- nongonococcal urethritis
- epididymitis
chlamydia in males
unilateral testicular pain and tenderness
epididymitis
how is chlamydia diagnosed
NAAT
Prior infection w/in ____ is important risk factor for future chlamydia infection
6 months
when do you rescreen everyone who has been treated for chlamydia? when do you test for cure?
rescreen 3 months after
test for cure no earlier than 3 wks
tx option for chlamydia in general? if pregnant?
- doxycycline 100 mg PO BID x 7 days
- azithromycin 1 g PO x 1 dose (if pregnant)
unless a test proves otherwise, which two infections are typically co treated if a patient has one of them?
chlamydia & gonorrhea
what is it? how is it treated? (2 options)
- Polymorphonuclear leukocytes w/ intracellular gram neg diplococci
- purulent discharge in males
- asymp or odorless (maybe greenish) discharge in females, post coital bleed, lymphadenopathy
gonorrhea
- ceftriaxone 500 mg IM x 1 dose
- gentamicin + azithromycin as single dose
when can you do test of cure in gonorrhea
ONLY for those w/ pharyngeal version 7-14 days after tx
how is gonorrhea diagnosed
NAAT
culture if worried about abx resistance
gram stain
standard dx test for HSV
viral culture
which HSV test can detect asymptomatic shedding?
PCR
what is this?
soft noncancerous growth that is a form of granuloma
gumma– a possible manifestation of tertiary syphilis
how is primary vs secondary syphilis diagnosed?
primary: darkfield microscopy– visualize spirochete
secondary: serology
how is syphilis tx? when do you f/u?
Benzathine PCN G 2.4 million units IM x 1 dose
f/u at 6 and 12 months
what 3 conditions can you do EPT for?
chlamydia
GC
trich
what is this? tx?
- Gonorrhea & chlamydia are most common infections that cause it
- UA will have pyrura but negative culture; can mimic acute cystitis
- Dx is clinical
urethritis
tx: doxycycline 100 mg PO BID x 7 days (same as chlamydia)
Uveitis, urethritis, arthritis– “cant see, pee or climb a tree”
Chlamydia is most common genital pathogen that causes it
reactive arthritis
tx of PID
Ceftriaxone 1g IV q 24 hrs x 1 dose + Doxycycline 100mg PO or IV BID x 14 days + Metronidazole 500mg PO or IV BID x 14 days
cef, dox, metro– 1g, 100mg, 500mg– 1 day, 14 days, 14 days
what is this? tx?
- Acute febrile reaction after syphilis or lymes dz tx
- HA, myalgia, fever w/in 24 hrs of giving IM PCH
- can cause fetal distress & early labor
Jarisch- Herxheimer reaction
tx: antipyretics
