STI's Flashcards
male structures that may become inflamed in Gonococcal Inf’s
epidiymis, prostate, anus
pelvic exam finding consistent with gonococcal inf
purulent cervical d/c
what is a common cheif compaint of gonococcal male pt’s
burning urination (d/c if later in dz)
when is gonorrhea symptomatic in women
during menses (dysuria)
how to treat gonorrhea and chancroid (H ducriyae)
Ceftriaxone( + doxycycline/azithromycin for Gonorrhea to treat Chlamydia!!)
In what condition would PA reveal bubos of necrotic swollen lymph nodes
chlamydia Lymphogranuloma Venereum
first sign of Lymphogranuloma Venereum
fleeting (evanescent) vesicle or ulcerative lesion
describe the bubos of Lymphogranuloma Venereum (3)
fused/sinusoidal, symmetrical, 1-4 weeks after exposure
describe anorectal manifestation of Lymphogranuloma Venereum (LGV)
proctitis, tenesmus, bloody/purulent d/c
How to test for Lymphogranuloma Venereum
complement fixation assay (my cross-react with other strains of Chlamydia)
causative org of Chlamydia/LGV
Chlamydia trachomatis L1-L3 strains
what is in the Ddx for chlamydia
syphilis, genital herpes, chancroid
DOC for LGV
doxycyline (100 mg BID 21 days)
2nd line DOC’s for LGV (2)
erythromycin, azithromycin
causative org of Chlamydia cervicitis/ uretritis
Chlamydia tracomatis types D-K
leading cause of infertility in females
Chlamydia
how does chlamydial uretra d/c compare with that of gonorrhea
more watery less painful
How is Chlamydia urethritis/cervicitis confirmed
swab, then nucleic acid amplification test
What to give to a pregnant woman with Chlamydia cervicitis (and anyone else)
azirthromycin (AKA Zithromax single 1g dose)
2nd choice DOC’s for Chlamydia uretritis/cervicitis
doxycycline (Vibramycin) or levofloxacin (Levaquin)
What type of org is Neisseria gonorrheae
GN diplococci
