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21 Cards in this Set
- Front
- Back
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What signs are suggestive of urethritis?
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-Dysuria
-Scant penile discharge -Erythema around the penis |
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2 main types of urethritis:
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-Gonococcal
-Nongonococcal |
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What is the incubation period for gonococcal vs nongon urethritis?
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Gon - 2-5 days
Nongon - 5-10 days |
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What symptoms are possible with gonococcal urethritis?
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-Dysuria
-Mucopurulent discharge -Skin infection -Pharyngitis |
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What are the 2 main ways to diagnose gonococcal urethritis?
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-Urine culture with Thayer martin
-Nucleic acid amplification of urine |
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What is the usual cause of nongon urethritis?
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Chlamydia
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What are the ways to diagnose chlamydial/nongon urethritis?
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Same as for gon
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What 2 UA tests are indicative of urethritis?
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-Nitrite
-LE |
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What lesions are caused by HPV?
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Condylomas
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What would a transient pustular rash with urethritis point to?
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Disseminated gonococcal infection
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What would a macular rash on the palms/soles point to?
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Secondary syphilis
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What is the most COMMON type of urethritis seen?
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Chlamydial - nongonococcal
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What type of testing is the gold std and required for court testimony for STDs/urethritis?
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Urethral swabs - NOT PCR
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How is a UTI typically distinguished from an STD urethritis?
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UTI will have a positive nitrite and negative STD screens
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What is the treatment for gonococcal urethritis?
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Single IM dose of Ceftriaxone
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Ceftriaxone is aka:
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Rocephin
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What oral med can be used for gonococcal urethritis?
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-Ciprofloxacin
-Cefopodoxime (Vantin) |
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What is the therapy for Chlamydial urethritis?
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-1 dose azithromycin/azithromax
or -1week doxycycline or erythromycin |
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How do you treat patients with GC?
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For both GC and chlamydia
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What is the risk of undetected/treated GC in a female?
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Tubo-ovarian scarring and infertility
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What are patients with prior chlamydial infections at a 2-fold higher risk for?
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Ectopic pregnancy
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