STI & Vaginal Infections Flashcards

1
Q

Bacterial Vaginosis (BV)

A

Lack of normal bacterial flora (lactobacilli)

Other “bad bacteria” like Gardnerella vaginalis grow

Fishy odor

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2
Q

BV Diagnosis

A

Clue cells seen on saline wet mount

Positive “whiff” test with KOH

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3
Q

BV Treatment

A

Metronidazole PO or vaginal cream

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4
Q

What should you avoid when taking metronidazole?

A

Alcohol

Pt would vomit if ETOH use

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5
Q

Vulvovaginal Candidiasis (Yeast Infection)

A

Lack of normal bacterial flora (lactobacilli)

Frequently happens when taking ABX or uncontrolled blood sugar

Thick, curdy discharge, extreme vaginal itching, dysuria

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6
Q

Vulvovaginal Candidiasis Diagnosis

A

Hyphae seen on KOH wet mount

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7
Q

Vulvovaginal Candidiasis Treatment

A

Vaginal creams or Fluconazole (one time pill) PO

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8
Q

Trichomoniasis

A

Microscopic protozoan

Yellow-green frothy discharge

Inflammation or vagina and cervix

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9
Q

Trichomoniasis Treatment

A

Metronidazole 2g PO
(avoid ETOH)

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10
Q

Trichomoniasis Education

A

Partners should be treated

Avoid intercourse until med completed and symptom-free

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11
Q

Chlamydia

A

Vaginal burning, frequency of urination, friable cervix (bleeding)

Can progress into PID

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12
Q

Chlamydia Treatment

A

Azithromycin 1g PO

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13
Q

Chlamydia Education

A

Partners should be treated

Abstain from intercourse for 7 days

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14
Q

Gonorrhea

A

Neisseria gonorrhoeae bacterium

Can progress into PID

Asymptomatic usually, but may have greenish yellow discharge, urinary frequency

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15
Q

Gonorrhea Treatment

A

Ceftriaxone 250mg IM + Azithromycin 1g PO

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16
Q

Gonorrhea Education

A

Partners should be treated

17
Q

Syphilis

A

Caused by spirochete Treponema pallidum

Vertical transmission during pregnancy (can be passed to baby)

18
Q

Syphilis Treatment

A

Penicillin G 2.4M units IM x 3 (weekly)

19
Q

Herpes Simplex Virus (HSV)

A

Primary episode blister-like vesicles - super painful

No cure

Usually heal in 2-4 weeks for primary episode

20
Q

Baby can not be delivery vaginally if what is present?

A

HSV lesions

21
Q

HSV Treatment

A

Acyclovir or Valacyclovir for suppression or outbreaks

22
Q

Human Papilloma Virus (HPV)

A

Cauliflower-like lesions

HPV vaccine

23
Q

Which HPV is known to cause cervical cancer?

A

HPV 16 and HPV 18

24
Q

What is the recommended age for HPV vaccines?

A

Ages 11-12

2-3 shot series