STIs in Males

Question 1

Syphilis

• Cause
• Transmission
• Dx course
• S/S
• LabDx

Answer 1

• Treponema Pall
• Sexual contact; Mother-fetus; blood products
• Chancre -> myriad of s/s -> latent -> Non-infectious/gummatous tertiary w/ or w//out neurosyphillis or CV syphillis
• S/S: Solitary firm lesion up to 3 cm; non-itchy rash; infectious pustular rash; B s/s
• LabDx: Not visible on light microscopy; Dark Feild microscopy; Obliterative endarteritis;

Question 2

Condyloma Acuminata

• organism + types
• Biggest Risk

Answer 2

• HPV 6/11

- Cervical cancer

Question 3

Balanitis

- Eti

Answer 3

• fungal in diabetics; phimosis; not STD

Question 4

Gonorrhea

• transmission
• s/s
• LabDx
• Tx

Answer 4

• Oral, anal, + vaginal intercourse
• s/s: purulent infx of mucuc membranes; urethritis, cervicitis, epididymitis, prostatitis, pharyngitis, proctitis. PID; Disseminated in women
• LabDx: Gram stain/culture; PCR
• Tx: Ceftriaxone + Azithromyacin OR Doxy

Question 5

Chlamydia

• Transmission
• S/S
• LabDx
• Tx

Answer 5

• vagina;, anal, oral, + vertical
• S/S: Urethritis, dysuria, orchitis, Cervicitis, PID, prosdtatitis, B s/s
• LabDx: NAAT/PCR via swab; urine test in men; NO cultures
• Tx: Azithromycin, Doxy, Tx gono at same time (Rocephin + Az)

Question 6

Reiters Syndrome

• S/S
• Et
• Tx

Answer 6

• S/s Triad of Urethritis, arthritis, + uveitis/conjuctivitis
• Et: Gono/Chlam
• Tx: NSAIDS, Analgesics, steroids, or immunosuppresants

Question 7

Pediculosis Tx

Answer 7

Permethrin or Pyrethrins w/ Piperonyl butoxide

Question 8

Haemophilus decreyi Chancroids

• s/s
• labdx
• Tx

Answer 8

• Painful + exudative lesions similar to syphilis
• Culture, biopsy, grams stain
• Tx: Azithromycin, Rocephin, erythemycin