STI's Flashcards

0
Q

Chlamydia diagnosis

A

Often cervical friabillity
Scant or purulent urethral discharge
Leuk est on FIRST 10-20mL of urine

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1
Q

Chlamydia infections

A
Urethritis, cervicitis, vaginitis
Salpingitis, PID
Fitz-Hugh-Curtis syndrome (perihepatitis)
(neonatal) conjunctivitis
Reiter syndrome (reactive arthritis)
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2
Q

Lymphogranuloma venereum

A

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

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3
Q

Chlamydia treatment

A

Doxycycline

Azithromycin, ofloxacin, erythromycin

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4
Q

Urethritis/Cervicitis/Vaginitis Causes

A
Chlamydia
Neisseria
Trichomonas
Mycoplasma genitalium
Ureaplasma urealyticum
HSV
Candida
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5
Q

Genital Ulcer Causes

A

Treponema (syphillis)
HSV
Haemophilus ducreyi
Calymmatobacterium granulomatis (granuloma inguinale)
Chlamydia L1/2/3 (lymphogranuloma venereum)

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6
Q

PID Causes

A

Neisseria
Chlamydia
Normal vaginal flora
Rarely: Mycoplasma genitalium/hominis, CMV, Ureaplasma urealyticum

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7
Q

Epididymitis Causes

A

Chlamydia
Neisseria
Enteric (ie E. coli)

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8
Q

Epididymitis Symptoms

A

Unilateral testicular pain/swelling
Hydrocele w/tenderness
Asx urethritis
Prehn sign: pain relief w/scrotal elevation

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9
Q

Gonorrhea infections

A
Urethritis/cervicitis
Pharyngitis
Proctitis
Conjunctivitis
Epididymitis, PID
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10
Q

Disseminated Gonococcal Infection

A
Petechial/pustular acral skin lesions
Asymmetric arthralgia/arthritis
Tenosynovitis
Septic arthritis
Perihepatitis
Rarely meningitis, endocarditis
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