STI's Flashcards
Chlamydia diagnosis
Often cervical friabillity
Scant or purulent urethral discharge
Leuk est on FIRST 10-20mL of urine
Chlamydia infections
Urethritis, cervicitis, vaginitis Salpingitis, PID Fitz-Hugh-Curtis syndrome (perihepatitis) (neonatal) conjunctivitis Reiter syndrome (reactive arthritis)
Lymphogranuloma venereum
Chlamydia trachomatis serovars L1, L2, L3
Primary Stage: painless herpetiform ulceration
Secondary Stage: painful suppurative lymphadenitis (femoral/inguinal), constitutional sx
Tertiary Stage: years after initial infection > rectal stricture or genital elephantiasis
Chlamydia treatment
Doxycycline
Azithromycin, ofloxacin, erythromycin
Urethritis/Cervicitis/Vaginitis Causes
Chlamydia Neisseria Trichomonas Mycoplasma genitalium Ureaplasma urealyticum HSV Candida
Genital Ulcer Causes
Treponema (syphillis)
HSV
Haemophilus ducreyi
Calymmatobacterium granulomatis (granuloma inguinale)
Chlamydia L1/2/3 (lymphogranuloma venereum)
PID Causes
Neisseria
Chlamydia
Normal vaginal flora
Rarely: Mycoplasma genitalium/hominis, CMV, Ureaplasma urealyticum
Epididymitis Causes
Chlamydia
Neisseria
Enteric (ie E. coli)
Epididymitis Symptoms
Unilateral testicular pain/swelling
Hydrocele w/tenderness
Asx urethritis
Prehn sign: pain relief w/scrotal elevation
Gonorrhea infections
Urethritis/cervicitis Pharyngitis Proctitis Conjunctivitis Epididymitis, PID
Disseminated Gonococcal Infection
Petechial/pustular acral skin lesions Asymmetric arthralgia/arthritis Tenosynovitis Septic arthritis Perihepatitis Rarely meningitis, endocarditis