STI/contraception Flashcards
treatment for BV
metronidazole
treatment for candida yeast
fluconazole
treatment for trichomonas
metronidazole
treatment for chlamydia
azithromycin
treatment for Gonorrhea
ceftriaxone + azithromycin
thin milky discharge, malodor
BV
itching, burning, thick white discharge
candida (yeast)
itching, irritation, gray discharge
trichomonas
Pain Uterine and/or adnexal tenderness Cervical motion tenderness (CMT) Fever (less than 1/3 of patients) Nausea/vomiting
PID
PIDSequelae
- Chronic pelvic pain
- Infertility/subfertility
- Ectopic pregnancy
outpatient antibiotic treatment
ceftriaxone IM, cefoxitin IM/ probenecid po and doxycycline
inpatient antibiotic treatment
“cefoxy-Doxy”
cefotetan, cefoxitin and doxycycline
treatment for chancroid and granuloma inguinale
azithromycin
treatment of LGV
doxycyline
treatment of syphilis
penicillin G
treatment of HSV
antivirals; symptomatic treatment
painful, shallow ulcers- usually multiple
HSV
painless rimmed ulcer- usually single
syphillis
herpes-like ulcers at first; then grooved inguinal mass
LGV
tender papules at first;then sepiginious, friable ulcers
chancroid
painless papules at first; then painless, beefy ulcerative mass
granuloma inguinale
stage of syphillis:
Painless ulcer with raised edges, almost always single. Highly infectious.
primary syphillis
stage of syphillis:
Maculo-papular rash on palms;
Condyloma latum; systemic symptoms.
secondary syphillis
stage of syphillis:
Skin & bone: gumma
CV: aortic aneurysm, aortic insufficiency
Neuro*: Tabes dorsalis, Argyl-Robertson pupil, blindness, paresis
tertiary syphillis
Demyelination of the dorsal columns
Loss of proprioception, vibration, and fine touch
Loss of DTRs
High-stepping, foot-slapping gait
Tabes dorsalis
Light-near dissociation
“Accomodates but does not react”
Constricts for near focus but not with bright light
Can be seen in other dorsal midbrain lesions
Adie syndrome, pinealomas, brain stem infarction and MS
argyll Robertson pupil
Non-painful, usually non-pruritic scattered papules with central umbilication from DNA pox vitus
molluscum contagiosum
Non-painful, non-pruritic verrucous papules and plaques from HPV
condyloma accuminatum
Interdigitary and genital itching; erythematous papules with linear burrows.
scabies
Intense pruritus; systemic symptoms (fever, malaise) if severe.
pubic louse
__________ also
thickens cervical mucous,
thins endometrium,
and decreases tubal peristalsis
Progesterone
4-7 days of placebo Continuous use (skip placebo week) Vary in EE dose and type of progestin
Combined OCPs
Wear weekly x 3 weeks, then 1 week off
Can also use continuously
Approximately twice the VTE as other combined methods; unclear why.
Transdermal patch
Insert vaginally and leave in x 3 weeks, then 1 week off
Can also use continuously
Transvaginal ring
Depo is what type of hormone?
progesterone only
most effective birth control method and progesterone only
implant
__________releases free copper which prompts inflammatory response, creates a highly spermicidal intrauterine environment
Copper-IUD
_________ causes thickens cervical mucus, partially inhibits ovulation, thins endometrium
LNG-IUD
Plan B
Progesterone blocks LH surge, inhibiting ovulation
Use within 3 days
Reduces risk of pregnancy by ~75%
Ella
anti-progesterone 98%
More effective than Plan B
- An anti-progesterone
- Causes detachment of embryo and further anti-progesterone cascade
mifepristone
- Prostaglandin E1 analog approved for treatment of gastric ulcers
- Causes cervical softening and uterine contractions
misoprostol
1st trimester options for abortion
- manual vacuum
- electric vacuum
- medical
2nd trimester options for abortion
- dilation and evacuation
2. induction of labor
