STIs Flashcards

1
Q
16 yo
Ab pain - 1 wk
On oral contraceptives but frequently forgets pills
Last sexual contact 1 wk ago
Tender ulcers on labia majora & minora 
Cervical motion tenderness 
Mild inflam cervic 
Tender inguinal adenopathy
A

PID aka salpingitis

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2
Q

Differential for genital ulcers

A
Viral: HSV 1 & 2 (painful)
Bacterial: 
- Syphilis (painless) 
- Chancroid 
- LGV (chlamydia)
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3
Q

Complications of untreated salpingitis

A

Abscess on tubes/ovaries
Ectopic preg
Sterility

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4
Q

Treat HSV salpingitis

A

Acyclovir

Goal = decrease duration

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5
Q

Initial treatment acute HIV

A
2 NRTIs: 
- 1 NNRTI
- Boosted PI
or
- Integrase inhibitor
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6
Q

Treat mucocutaneous candidiasis

A

Fluconazole

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7
Q

Things to worry about when giving Abacavir

A

HLA types –> HST

Heart issues

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8
Q
Painless lesions 
Do not itch 
Flesh colored papules 
Sexually active 
No inguinal lymphadenopathy
A

HPV

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