STI/epididymitis/VVC Flashcards
what is the most common cause of testicular pain?
epididymitis, 80%
when do you treat with fluoroquinolones?
age > 35 or hx condomless anal insertive sex
what are some causes of chronic epididymitis?
trauma prolonged sitting prior scrotal/inguinal hernia immunosuppresion vasectomy Bechet's disease travel to a place w/ mumps or bucellosis amiodarone
what specific examination might support the dx epididymitis?
+ prehn’s
acute vs chronic epidimimytis
< 6 weeks
> 6 weeks
Red Flags (or ddx not to miss) for epididimytis
Systemic symptoms
Incarcerated hernia
Fournier’s gangrene (necrotizing fasciitis of perineum: acute scrotal pain, severe pain in anterior abdo wall spreading to gluteal muscles, scrotum, penis)
pain unrelieved with elevation (testicular torsion)
Testicular cancer
tx epididymitis for age < 35 and no insertive anal sex
GC/CT w/ cefixime or ceftriaxone X 1 dose and doxy X 10-14 days
tx for epididymitis for insertive anal sex
cefixime X 1 and levofloxacin X 10-14 days
tx for epididymitis > 35 years and no condomless sex or no risk factors for GC/CT
levofloxacin
common organism in BV (polymicrobial)
gardnerella vaginalis
BV is higher prevalence in what population?
WSW
risk factors for BV
IUD
smoking
new sexual partners, etc
NOT associated w/ DM or immunosuppression
what bacteria normally prevent overgrowth of microbes that cause BV?
lactobacilli
what percentage of BV are asymptomatic
50-75%
recurrent BV is defined as:
2+ 4 weeks
4+ one year