STIs Flashcards
Cervicitis most often
Chlamydia - asymptomatic
dysuria
Untreated cervicitis can lead to
PID - infertility, ectopic pregnancy chronic pelvic pain
How do you treat cervicitis: chlamydia
Give Azithro stat dose (1g) or Dox (100mg bid) x7 days
How do you treat cervicitis : gonorrhea
Ceftriaxone
and
Azithro to cover potential chlamydia
Bacterial vaginosis can be caused by
Garnderalla vaginalis
grey fish odor
not sexually transmitted
How do you treat BV?
Metronidazole 500mg bid x7 days
trichomoniasis (protozoa!) Vag can be detected with
Diamonds medium -
and IS reportable to public health
IS sexually transmitted
Strawberry
What are the reportable STIs to public health?
Chlamydia Gonorrhea Trichomonas Syphilis Hep B
Urethritis - symptoms
- discharge, mostly asymptomatic!
Urethritis - STI
Gonorrhea
Chlamydia
Ureaplasma Urealyticum
How do you test for Urethritis
1st catch urine!
and mid-stream urine for culture
How do you treat urethritis?
Azithro OR DOx
PLUS
Ceftriaxone - if gc
If urethritis goes on for >3 months
Prostatitis
Ddx for epididymitisi
Trauma, torsion (surgical ER), tumor
Epididymitis and 35
35: consider choliforms, pseudomonas
Treatment for epididymitis if <35
Risk for STI
give ceftriaxone PLUS Dox (10-14 days!!)
Treatment for epididymitis if >35
Ofloxacin - tricho and pseudo
Syphilis is caused by
Treponema pallidum
Syphilis is often a
SINGULAR lesion
NON-TENDER lymphadenopathy
Penicillin IM
Chancroid
Hemophilus Ducreiy
Single or multiple (50%)
Necrotic, painful lymph nodes
molluscum contagiosum
Viral DS DNA pox virus!
- common in children
- if genital think STI
Chlamydia and gonorrhea can present in
The pharynx and rectum
Which STI is becoming Abx resistant in canada
GC
Which ones become PID
GC
Chlamydia
BV MIGHT
Tricho RARELY
