STI Flashcards
this is usually asymptomatic in women and ingle or multiple superficial painful ulcer surrounded by erythematous halo in men
chancroid
sensitivity
degree to which those who have the disease test postive
specificity
the degree to which those who do not have disease screen/test negative
tx of chancroid
azithromycin 1 gram PO x 1 OR
Rocephin 250mg IM x1 dose
most common bacterial STI in the US
chlamydia
gonorrhea s/s
common young adult (15-24)
dysuria
mucopurulen vaginal discharge/green
white/yellow-greeen penile discharge
s/s syphilis
primary:
chancre, painless
secondary:
flu-like symptoms, generalized reddish/brown rash on palms and soles
latent:asymptomatic
territory: mutlisystem
Dx for syphilis
screen : VDRL and/or RPR
if postive confirm with treponema test
tx for syphilis
Penicillin G
allergy: doxycycline 100 BIDx14
cause of vulvovaginits
trichomoniasis
bacterial vaginosis
candidacies
s/s trichomoniasisi
malodorous, frothy yellowish green discharge
strawberry patches on cervix
dyspareunia
bacterial vaginosis s/s
watery , grey fishy smelling discharge
candidiasis
thick white curd like discharge
test for bacterial vaginosis
normal saline wet prep
irregularly-shaped vaginal epithelial cells *clue cells
tx for trichomoniasis
metronidazole
tx for bacterial vaginsosis
metronidazole
clindiaymcyin cream
candidiasis tx
OTCH :clotrimazole, miconazole
precpritoin: butoconazole or terconazole
oral: fluconazole
this medication treats HSV and reduces viral shedding
valacyclovir - used by couples
who has the highest age-adjusted prevalence of DM
native Americans
pneumococcal vaccine for 19-64
PVC 15 followed by PCV 23 >=1 year OR PVC 20
AAA screening
males- age 65-75 that have every smoked, one time
major cause of death 12-19 years old
accidents
top 3 cause of death 20-39
accidents
homicide
suicide
top adult killer
heart disease
highest cancer mortality in women and men
lung
leading GYN associated killer
ovarian
highest incidence of cancer in women other than skin
breast
other than skin cancer 2nd most common cancer in men
prostate
second leading killer cancer in men and women
colorectal
protein goal for healthy person
0.8-1lg/kg/day
routine vaccines for adults 65 and older
TIPS
tdap
infulenza
pneumoncoccal
shingles
