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19 Cards in this Set
- Front
- Back
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Chlamydia infects the _______
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Urethra
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What are the symptoms of chlamydia in men? In women?
Treatment? |
Men: urethritis, epididymitis, proctitis
In women: 4x more likely; cervicitis, salpingitis 1 dose azithromycin |
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Gonorrhea is a Gram ____ bacteria.
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Negative
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What are the symptoms of gonorrhea in men? In women?
Treatment |
Men: urethritis, epididymitis, procticitis; CONJUNCTIVITIS!!
Women: cervicitis, salpingitis Tx: Uncomplicated |
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What is the clinical presentation of chlamydia? What other STI presents this way?
How can you differentiate? Treatment? |
Chlamydia presents like Gonorrhea
MUCOPURULENT CERVICITIS Fishy, anaerobic odor Bubbly discharge YELLOW/GREEN discharge Dx via urine culture Tx is empiric |
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Treponema pallidum causes ______ and is a _________ bacteria.
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Syphilis
Spirochete |
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Describe the three stages of syphilis. Hallmark feature?
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Hallmakr: PAINLESS ULCERS WITH LAD
Primary infection: ulcer 10-90 days PAINLESS Secondary Infection: Systemic illness (fever, malaise, mucocut lzns) Tertiary: Cardiac, Neurologic, Ophthalmologic Dz |
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How is syphilis diagnosed? Treated?
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Two step testing
VDRL, RPR FAT-ABS, MHA-TP Tx: PCN-G (thick milkshake IM injection) |
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Pigmental lesions of palms and soles are signs of ________
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Syphilis
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Hallmark symptom of Herpes?
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PAINFUL lesions in CLUSTER, FLUID-FILLED
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Which HSV cause genital ulcers? Treatment?
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HSV2
Tx: Acyclovir |
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What is the clinical presentation of lymphogranuloma venereum?
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Painful INGUINAL/PERIRECTAL LAD with fibrosis/stricture
Caused by chlamydia group! |
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Which form of HPV is oncogenic?
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HPV 16,18
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Which form of HPV results in visible ulcers? Are these serotypes usually oncogenic?
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HSV 6,11:WARTS
Non-oncogenic |
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What is bacterial vaginosis?
Criteria for diagnosis? Treatment? |
Bacterial vaginosis = loss of acidic balance and overgrowth of anaerobic bacteria
Dx requires 3/4: -Discharge -Clue Cells -pH>4.5 -FISHY ODOR before/after KOH Whiff Test Tx: Metro or Clinda (no routine tx of partners) |
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What are clue cells?
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epithelial cells of the vagina that get their distinctive stippled appearance by being covered with bacteria
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Strawberry cervix is a sign of _______
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Trichomoniasis (protozoan trichomonas vaginalis)
Assocd w/mucous discharge, pain (~gonorrhea) Tx: metro |
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Cottage cheese discharge is a sign of _________.
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Vulvovaginal candidiasis
Syx: Itching, white discharge CULTURE IS USELESS (always have candida in flora) |
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HIV Genital Aphthous Ulcer:
Symptoms Treatment |
Syx: painful, multiple ulcers; manifestation of HIV!
Tx: HIGH DOSE STEROIDS |
