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15 Cards in this Set

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  • Back
what is the common causative organism for Gonorrhea?

what are the Sx?
Dx?
Tx?
caused by Neisseria gonorrhea

Sx:
~mucopurulent cervicits
~yello/white vag d/c
~pain, swomllen andpainful cervix
~yello/green d/c in men

DX:
~gram stain has ?10 PMN/HPF and >5 WBC/OIF w/ intracellular gram neg diplococci in WBC
~PCR

TX:
~Ceftriaxone(Rocephin) 125 mg IM x1 or Cipro 500 mg po x1
what is the common causative organism for Chlamydia

what are the Sx?
Dx?
Tx?
Caused by clamydia tracomatic

SX:
~50% asymtomatic, mucopurulent d/c
~cervix friable (bleeds easily)

DX:
~gram stain
~direct FA slide
_NAAT

TX:
~Azithromycin 1gm po x 1 or Doxycycline 100mg po BID x 7 d
what is the common causative organism for Syphilis?

what are the Sx?
Dx?
Tx?
caused by trepenma pallidum

SX;
~painless genital ulcer
~2nd stage condyloma lata

DX:
~darkfield microscpy
~RPR, VDRL

TX:
~Benzathine PCN 2.3 units IM x 1
what is the common causative organism for Bacterial Vaginosis (BV)?

what are the Sx?
Dx?
Tx?
caused by Gardnerella vaginalis

Sx:
~homogenous malodorous vag d/c like milk
~pH ?4.5
~cervix nl
~clue cells

DX:
~saline wet prep w/ whiff test of fish odor
~vag pH ?4.5
~gram stain

TX:
~metronidazole(flagyl) 500 mg po bid x 7 d
what is the common causative organism for Trichomonas?

what are the Sx?
Dx?
Tx?
caused by Trichomonas vaginalis (a protozoa)
(1/5 men w/ NGU will have trich)

SX:
~copious vaginal d/c gray foamy, waeery d/c
~cervix puntate hemorrhages and inflammation
~pruritus,
erythema, dyspyrnia, no foul odor

DX:
~saline wet prep

TX:
~Metronidazole (flagl) 2 gm po x 1 or 500 mg po bid x 7 days
what is the common causative organism for Vaginal Candidiasis?

what are the Sx?
Dx?
Tx?
caused by candida albicans o

SX:
~thick white d/c, itching, introitus erythema
~dyspareunia, dysuria
~cervix nl

DX:
~10%$ KOH prep
~gram stain

TX:
~Fluconazole(Difulcan) 150 mg po x 1
or monistat-3, 200 mg supp
what is the common causative organism for Pelvic inflam dz?

what are the Sx?
Dx?
Tx?
usually secondary to ther iinfection

SX:
~Abd pain, systemic Sx

DX:
~uterin/adnexal tenderness or cervical motion tenderness "chandelier sign"

TX:
~outpt FLoxin + flagyl po
Inpt Cefotan +Doxy IV
what is the common causative organism for Chancroid?

what are the Sx?
Dx?
Tx?
caused by Haemophilu ducreyi

SX:
~most painful genital ulcer
~bubo chancroid

DX:
~gram stain of pus from inguinal bubo

TX:
~Ceftriaxone (ROcephin) 250 mg IM x 1 or Azithromycin (zithromax) 1 gm po
what is the common causative organism for LGV?

what are the Sx?
Dx?
Tx?
Chlamydia trachomatis

SX:
~genital ulcer, bubo

DXL
~PCR

TX
~Doxycylcine (Vibramycin 100mg po id x 3 wks
what is the common causative organism for Granuloma inguinal?

what are the Sx?
Dx?
Tx?
Calymmatobacterium granulomatis

Sx;
~genital ulcer
~Giemsa or Wrights stain
TX:
~doxycycline 100 mg po bid x 3-4 wks
what is the common causative organism for Human Herpes Virus 1&2 ?

what are the Sx?
Dx?
Tx?
Herpes simplex virus

SX:
~Painful vesicles-ulcers

~Tzanch smear
~direct FA slide
~PCR
~Westen blot

TX:
Valacyclovir (Valtrex) 1 gm po bid x 7-10 d
what is the common causative organism for HPV?

what are the Sx?
Dx?
Tx?
the huma papiilomavirus

SX:
~condyloma acuminat stron assoc w/ cervical cancer and other anogenitcal SCC

DX:
~Pap stain
~DNA hydribzation

TX:
~Cryotx
~Condylox
~Podocon`25
~Aldara
~Gardasil protects against HPV 6,11, 16, 18
what are three other common types of viral infection not mentioned?
Hepatitis Virus ABCHe ABC, HIV and Molluscum Contagiousum
what is the common causative organism for Scabies?

what are the Sx?
Dx?
Tx?
Sarcoptes scabiei (parasitic mites)

Sx:
~Itching

Rx: Elimite 5% permethrin
~Tx chin to toes x 8-10 hrs, repeat in 1 week
what are tx for lice?
pubic crabs Rx elimite OTC, Nix and remove nits and tx partners