STI Flashcards
MC non viral STI
Trichomoniasis
Trichomoniasis presentation
asymptomatic
- increased PH
- Yellow green discharge
- strawbery cervix
Trichomoniasis
Trichomoniasis tx
metroniiteazole (flagle)
Trichomoniasis when do you retest
3 months
flagle has what risk for pregnancy
premature (hold off on breast feeding for 24 hours)
what type of infection is chymadia
gram negitive bacteria
what is the MC bacterial STI
chymadia
how often should you screen for chymadia
annually
chymadia presentation
asymptomatic
chymadia symptoms if theyt do have them
pain, dischnage, burning, bleeding, adenexal tenderness
male chymadia symptoms
irrittaed urethra, discharge
chymadia DX
first catch
chymadia TX
azithromyocin OR doxy
what type of infection is gonorrhea
gram negative bacteria
gonorrhea is similar to what other STI
chymadia
how do you DX gonorrhea
first catch urine
gonorrhea Tx
ceftiaxone AND azithromyocin
when do you rest for gonorrhea and chymadia
one month
what can gonorrhea cause
- comjuntivitis
- meningitis
- endocardidids
- Perforation of the globe (blindness)
what are the two MC causes of PID
chymadia
gonorrhea
what is the pain complication with PID
infertility
Fitz curtiz syndrome associated with
PID
how do you Dx herpes
swab of active lesions
how do you treat herpes
acycylovir
if you perscribe acycylovir you need to check what
kidney function
HSV in pregnancy how do you treat
acycylovir at 36 weeks and C section
hand warts HPV
6/11
genital warts
HPV 16/18
HPV presentation
asymptomatic
what can HPV progress to
cervical cancer
Gardisil 9 < 15
0, 6
Gardisil 9 > 15
0, 2, 6
what is the great imatator
syphilis
do you need to report syphilis to the health department
yes
syphilis transmission
direct contact wuth lesions
painless chancre, papule that ulcerates (be specific)
Primary syphilis
Rash on palms of hands and feet, mucous patches (be specific)
secondary syphilis
can you transmit late syphilis
no
describe neuro syphylis
cranial nerve dysfunction, can happen at any stage
How do you test for syphylis
- non trepanemal
- Treponemal
- Neurosyphlis (LP)
syphilis TX
- Pen G
2. Doxcy
when do you test for TORCH
- 1st visit
- 28 week
- delivery
what are the 4 things with neonatal syphlis
Hutchintons teeth
Interstital keritinitis
hearing loss
saber shins
what syphilis has end organ damage
teritiary
what has a painful genital ulcer
chancroid
pediculosis pubis is AKA
crabs
TX crabs
permethrin
can miniors consent to STI testing
yes
what ages shoud you test for STI
13- 64