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58 Cards in this Set
- Front
- Back
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Most common vaginal infection
Affects how many women |
BV
16% |
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S/S of BV
Diagnose with the |
discharge, odor, pain, burning, itching, fishy odor
whiff test (KOH plus potassium hydroxide) |
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BV treatment is woman is
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Metronidazole
Symptomatic |
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Exposure to BV
Do male partners need to be treated? Do lesbian partners need to be? |
No
Yes |
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BV causes
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Preterm labor
Low Birth weight PID Ectopic |
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If previous premie or low birth weight baby screen for ____
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BV
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Trichomoniasis affects
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Men and Women
Symptoms are more common in women |
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Trich most common area of infection in men and women?
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Women vagina
Men urethra |
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Most common curable STI in young sexually active women?
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Trichomoniasis
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S/S of Trich
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frothy, green discharge
strong odor Discomfort during intercourse and urination Irritation and itching Abdominal pain Strawberry patches on vaginal walls or cervix |
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With _________________ both partners should be treated
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Trichomoniasis
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Trich causes what with pregnancy
|
preterm labor
Low Birth Weight |
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HSV-2 is what
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generally transmitted during sexual contact
may be released between outbreaks |
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First outbreak of hsv-2
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with 2 weeks of transmission
flu like symptoms |
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You can expect ______ outbreaks with a year from the first episode of hsv
Outbreaks_________ with time |
4-5 outbreaks
decrease |
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HSV blisters take _________ weeks to resolve
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2-4
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Treatment of HSV
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None
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Medicine that can help HSV
? for oral herpes |
acyclovir (Antiviral medicine)
Abreva |
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Aggravating factors of HSV (diet)
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Orange, sun, arginine, and chocolate
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Natural remedies for HSV?
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Herp-Elim tincture
Soak cloths in black tea, clove tea, or witch Hazel Paste of baking soda or corn starch Lysine & nettles |
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HSV risk to babies
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Fatal infection
Cesarean if active outbreak |
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If HSV contracted during pregnancy
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greater risk of transmission to baby
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Infection from woman to baby during delivery of HSV
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Rare
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All pregnant women should be screened for
(CDC guidelines) |
Chlamydia, Gonorrhea, Hep B, Hep C, HIV, Syphilis,
BV if previous LBW |
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Counseling the positive woman
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Expression of feelings
Provide facts & support How to tell partner Fulfill reporting requirements Treatment Follow up Discussion of future sexual behaviors |
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Decrease in HIDS from 2004-2009
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14%
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2/3rd of ____ are infected with AIDS due to .....
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men
MSM |
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Is the US what prevalence rate of HIV %?
How many people living with HIV |
0.6%
1.2 million |
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New infections of HIV in women increasing to ______ in ______ from
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1 in 4
IVDU |
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Are 12 times more likely to be infected with HIV
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African Americans
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AIDS is the leading cause of death amongst?
what age? |
African Americans
25-34 |
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Name 5 ways HIV is transmitted
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blood, semen, vaginal secretions, breast milk, and amniotic fluid
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In first month after HIV exposure what happens
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Flu like symptoms
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In untreated AIDS victims how long do they live?
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10 years
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Vulnerability to HIV for women
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younger, more virus in sperm than vaginal secretions
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Most MTCT of HIV occurs during
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time of birth 66/75%
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Vertical transmission of HIV occurs
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15-25% industrialized countries
25-45% developing countries |
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Other transmission of HIV can occur during
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Smoking, preterm birth, chorioamnioitis, invasive fetal monitoring, episiotomies
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Babies of untreated HIV women
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20% will get AIDS in 1st year and die by 4 years.
Other will get AIDS by 6 |
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Breastfeeding with AIDS...
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Increases 5-15% of fetal infection
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Zudovudine...
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decreases MTCT from 25% to 8.3%
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Most recent treatment for HIV
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HAART
Highly Active Anti Retroviral Therapy |
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gynecological risk factors that can show lead you to HIV
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Penicillin resistant gonorrhea
Chronic monilia or herpes Cervical dysplasia HPV |
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Pediatric HIV signs
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Frequent infections meningitis
developmental delays failure to thrive frequent diarrhea Pneumocystis carinii pneumonia |
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Education for HIV
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Focus on behaviors not high risk groups
Education on risk free behaviors |
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When to test for HIV
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At initial
Offer at 28 week If not tested in 3rd trimester-baby and mom's blood taken within 2 hours of birth and results back within 6 hours |
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Hepatitis A
Contracting how? Vaccine? |
Acute liver disease (Not chronic)
Ingestion of fecal matter Yes >1 year |
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Hepatitis B
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Acute and Chronic
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What percentages will Hepatitis B be chronic or acute
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10% chronic
90% acute |
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Hep B Vaccine?
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Yes anyone not previously vaccinated and adults at risk
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Hepatitis C
Leads to? Vaccine? |
Most often Chronic
Cirrhosis of the liver and liver cancer NO |
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Most common chronic blood borne infection in US
|
Hepatitis C
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Hepatitis D
Common in US Vaccine |
Have to have Hep B to get Hep D
NO NO |
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Hepatitis E
Common in US? Transmission? |
Acute Infection
No Water, fecal matter |
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Hepatitis E and pregnancy
Vaccine |
Maternal and fetal mortality common
No |
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Hep B transmission to infant?
How many will die? |
without post exposure immunoprophylaxis 40% of infants will develop chronic HEP B
One fourth will day from chronic liver disease |
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How can you prevent HEP B transmission
|
Hep B immune globulin and HEP B vaccine to infants with 12 hours of birth
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Guidelines for labwork with Hep B
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Universal screening of all
Routine vaccination of all infants starting at birth |
