W05_11 STIs Flashcards
what can cause cervicitis?
chlamydia;
gonorrhea
what can cause vaginitis?
candida; bacterial vaginosis; trichomonas; allergy/atrophy; foreign body
DDx of mucopurulent vaginal d/c
chlamydia, gonorrhea, bacterial vaginosis, foreign body, trichomonas
what 3 complications can result from pelvic inflammatory disease?
infertility;
ectopic pregnancy;
chronic pelvic pain
what’s the treatment for chlamydia?
azithromycin (1 x 1g); or
doxycycline (7d x 100mg bid)
is chlamydia reportable to public health?
yes. treat/inform partner
why might you want to do a retest for the chlamydia treatment?
compliance uncertain;
alternative treatment;
reexposure;
pregnant!
what’s the treatment for gonorrhea?
ceftriaxone (1 shot x 250mg) AND
azithromycin (1g; for chlamydia)
what does a discharge with a fishy odour from the vagina indicate?
bacterial vaginosis (gardnerella vaginalis) or trichomonas vaginalis
is bacterial vaginosis reportable to public health?
no; not really STI.
is gonorrhea reportable to public health?
yes. treat/inform partner
what’s the treatment for bacterial vaginosis?
metronidazole (500mg po bid x 7 days)
what’s the treatment for trichomonas vaginitis?
metronidazole po (1x2g)
is trichomonas reportable to public health?
yes; treat and inform partner
how do you collect a specimen for trichomonas?
diamonds medium only!
what are 5 reportable common STIs?
chlamydia; gonorrhea; trichomonas; syphilis; hepatitis B
signs and symptoms of gonorrhea?
mucopurulent discharge, urinary frequency, dysuria, meatal redness, or asymptomatic!
how to treat urethritis?
azithromycin (1x1g) or doxycycline (100mg po bid x 7d)
+ceftriaxone IM (250mg) if GC
how to treat epididymitis?
if 35 give ofloxacin (14d x 300mg po bid)
why do we give antibiotics for epididymitis for a longer period of time?
epididymus doesn’t have the best exposure
herpes type 2 is usually in which location?
genital
herpes type 1 is usually in which location?
oral
how to treat herpes?
antivirals: acyclovir, famcyclovir, valacyclovir
what’s the difference between syphilis and herpes?
syphilis is usually a SINGULAR lesion, and it’s painless.
how to treat syphilis?
penicillin; easy peasy.
symptoms of chancroid?
painful, necrotic, painful lymph nodes
which types of HPV can progress to cancer?
HPV 16, 18
which strains of HPV cause genital warts?
typically HPV 6 or 11
how long does HPV 6 or 11 take to clear?
6 months to 2 years
how to treat genital warts?
liquid nitro, imiquimod cream, etc etc
what is molluscum contagiosum?
ds DNA pox virus that causes dimpled warts
“strawberry cervix” is a typical sign of which STI?
trichomonas
