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20 Cards in this Set
- Front
- Back
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What vaccines are routinely administered to adolescents?
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Tdap, HPV, MCV, Influenza
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What 9 vaccines are routinely given to adults?
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Td/Tdap, influenza, pneumococcal, MMR, varicella (consider for all),
Hepatitis A and B and meningococcus if at risk, zoster vaccine should be discussed, HPV vaccine where appropriate |
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LOOK AT THE VACCINE SCHEDULE
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LOOK AT IT
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What are the only true contraindications to vaccine delivery?
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-Serious allergic reaction (e.g., anaphylaxis) after a previous vaccine dose
-Serious allergic reaction (e.g., anaphylaxis) to a vaccine component |
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Which of these are contraindications to vaccine therapy?
-Mild acute illness with or without fever -Mild to moderate local reaction (i.e., swelling, redness soreness); low-grade or moderate fever after previous dose -Lack of previous physical examination in well-appearing person -Current antimicrobial therapy -Convalescent phase of illness -Premature birth (hepatitis B vaccine is an exception in certain circumstances)+ -Recent exposure to an infectious disease -History of penicillin allergy, other non-vaccine allergies, relative with allergies, receiving allergen extract immunotherapy |
None are contraindications
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What are the most common misconceptions of vaccines?
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Does not cause autism, diabetes or other chronic diseases. Does not weaken the
immune system. Still needed due to world wide incidence. |
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Is it necessary to screen for HIV?
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Close to one-fourth of all those HIV infected do not know of their condition. This leads to
late detection of the disease and worse outcomes. It also causes prolonged periods of unknowingly spreading the infection. Risk assessment is inaccurate. Routine testing reduces the stigma of the test. The U.S. Preventive Services Task Force (USPSTF) strongly recommends that clinicians screen for human immunodeficiency virus (HIV) all adolescents and adults at increased risk for HIV and makes no recommendation for those not at increased risk for HIV infection. |
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What is in the differential diagnosis for cervicitis?
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gonorrhea, chlamydia, mycoplasma, other organisms grouped into purulent
cervicitis |
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What is in the differential diagnosis of vaginitis?
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candida, bacterial, trichamonas, gonorrhea, chlamydia (these last two are actually a cervicitis that presents with symptoms that resemble vaginitis), chemical
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What is in the differential for urethritis?
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gonorrhea, chlamydia, ureaplasm, mycoplasm, nonspecific urethritis,
chemical irritation |
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How can gonorrhea present in men?
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urethritis, proctitis, pharyngitis, arthritis, asymptomatic (gram stain is specific in urethritis)
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How can gonorrhea present in women?
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cervicitis, PID, arthritis, pharyngitis, proctitis,
asymptomatic |
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What is the primary difference between the presentation of chlamydia versus gonorrhea?
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Same as gonorrhea except lack of arthritis
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How does syphilis present in its primary phase and secondary phase?
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primary is a painless chancre; secondary can be skin rash,
lymphadenopathy, fever, malaise |
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How does genital herpes present?
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Initial prodrome of irritation and pruritis followed by vesicles
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How does HPV present?
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many serotypes; most asymptomatic; oral, anal, or
urogenital warts (painless); linked to cervical cancer |
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What is the USPSTF recommendation for screening chlamydia?
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The U.S. Preventive Services Task Force (USPSTF) recommends screening for chlamydial infection for all sexually active non-pregnant young women aged 24 and younger and for older non-pregnant women who are at increased risk.
B rec = All pregnant younger than 24, and all pregnant women older than 24 at increased risk. Don't screen for men. |
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What is the USPSTF recommendation for screening gonorrhea?
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The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen all sexually active women, including those who are pregnant, for gonorrhea infection if they are at increased risk for infection (grade B)
Grade D in men grade A = topical antibiotics against gonorrhea in all newborns |
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What is the USPSTF recommendation for syphilis?
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The U.S. Preventive Services Task Force (USPSTF) strongly recommends that clinicians screen persons at increased risk for syphilis infection (grade A). Remember to screen for those with other STIs.
Also screen all pregnant women for syphillis. |
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Discuss the collaborative role of family physicians and local health departments in community control of sexually transmitted infections
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Physicians should report STI’s to the local health department and consult with them on
questions of diagnosis and treatment. The LHD does epidemiology, provides advice on diagnosis and treatment, may provide free treatment services, and conducts contact tracing and notification if resources permit |
