Repro - 10,11 - Infectious Disease Of Reproductive Tract

Front 1

urethritis

Back 1

dysuria, urinary frequency, urethral discharge

gram stain, oil should show >5 WBC per field

or look for pos leukocyte esterase - >10 WBC per high power field

Front 2

two most common cause of urethritis

Back 2

neisseria gonorrhea

chlamydia trachomatis

Front 3

gonococcal urethritis

Back 3

gonorrhea

see white discharge

intracellular g- diplococci

Front 4

complication of gonorrhea for during delivery of baby

Back 4

perinatal transmission

especially to the eyes

Front 5

what coinfects with gonorrhea

Back 5

chlamydia

Front 6

treatment for gonorrhea

Back 6

cefixime, ceftriaxone, ciprofloxacine, oflaxacin

Front 7

treatment for gonorrhea + chlamydia

Back 7

azithromycin infection (2grams, single dose)

Front 8

chlamydia infection presentation

Back 8

watery urethral discharge (vis white with gonorrhea)

gram stain is negative for organism

Front 9

epididymitis

Back 9

inflammation of epididymis

pain, swelling, usually unilateral, dysuria, frequency, urgency

common complication of infection

secondary STD - chlamydia, thrichonas, gonorrhea

secondary GU infection - coliforms (ecoli), pseudomonas - homosexuals

Front 10

treatment for epididymitis

Back 10

STD related - doxycycline, ceftriaxone

if not STD, ecoli and pseudomonas

Front 11

orchitis

Back 11

inflammation of testis

etiology - viral mumps, coxsackie echo, adenovirus, varicella

possible cause infertility since swelling of testicle is limited by tunica albuginia - pressure atrophy

Front 12

prostatitis

Back 12

inflammation of prostate

difficult voiding, fever, systemic symptoms

older people - ascending urethral infection

chlamydia, ecoli, proteus, enterococcus

usually not STD

don't do rectal exam - might cause bactermia

Front 13

normal bacterial flora - what kind of bacteria

Back 13

lactobacilli - maintains normal vaginal which is acidic

Front 14

bacterial vaginosis

Back 14

normal vaginal flora replaced with gardnerella vaginalis

associated with contraceptive methods

fishy odor

not a true STD - don't treat partner

Front 15

treatment of vaginosis

Back 15

metronidazole

Front 16

amsel criteria

Back 16

for diagnosis for bacterial vagnosis, 3 of the following

vaginal ph>4.5

presence of >20% per high power field of "clue cells" - dead epithelial cells

positive amine or "whiff" test - amine odor when 10% KOH is added - bubbles

homogenous nonviscous, liky white discharge which is adherent to vaginal wall

Front 17

candida vaginosis

Back 17

curdy vaginal discharge

itchy

no smell

diagnosis:
10% KOH prep - look for yeast cells and pseudohyphae

not a true STD - dont need to treat partner

use azole to treat

Front 18

balanitis

Back 18

candida infection of penis

Front 19

trichomonas vaginitis

Back 19

multiple bleeding spots in mucosa

profuse frothy discharge

very itchy

strawberry vaginitis

malodorous

association with preterm rupture of membrane

increased shedding of HIV

visualize protozoa on wet mout

treat with metronidazole

Front 20

bacterial vaginosis vs trichomoniasis

Back 20

bacterial vaginosis:
fishy odor
milky discharge
clue cells

trichomoniasis:
malodorous
frothy discharge
strawberry cervix
see flagilated protozoa

Front 21

what bacteria is associated with IUD

Back 21

actinomyces

Front 22

cervicitis

Back 22

candida, HSV, gonohroea, chlamydia, trichomonas

inflamed cervix, see unusual discharge yellow green

Front 23

pelvic inflam disease

Back 23

asecending spred of organism from vagina/cervix -> endometrium, fallopian tubes, pelvic peritoneum,

can predispose to ectopic preg, tuboovarian abscess

most common pathogen:
neisseria gonorrhea, chlamydia trachomitis

Front 24

HPV

Back 24

dsDNA virus

warts - type 6, 11

cancer - type 16, 18

Front 25

treatment of HPV

Back 25

cryotherapy

podophyllin

trichloroacetic acid

surgical removal

patient appled:
podoflox
imiquimod

Front 26

HSV

Back 26

usually HSV2 for genital

pain, burning sensation

asymptomatic shedding

if has 5 days before labor - need to do c-section

acyclovir to treat

Front 27

syphillis

Back 27

trponema pallidum

hard PAINLESS ulcer

in secondary form - see rash on palms and soles

tertiary form - aortitis, gummatous, CNS

treat with penecillin

PRP to diagnosis

Front 28

Lymphogranuloma venerum

Back 28

STD of lymphnodes - chlyamidia trochomitis serotypes L1,2,3

see ulcer first,

then lymphadenopathy

finally rectal strictures, fistulas, genital elephantiasis

doxycycline

Front 29

chancroid

Back 29

Hemophilus ducreyi - g- bacteria

due to penetration through break in epithelium

papule, pustule multiple which may combine - irregular shape, little inflammation

treat with azithro

Front 30

granuloma inguinale

Back 30

calymmatobacterium granulomatis

intracellular g- encapsulated

tropical areas

needs repeated contact

very large ulcer with beef base, irregular shape

donovan bodies - safety pin appearance clustered in vacuoles

Front 31

azithro treats these 3 infectious disease of reproductive tract

Back 31

gonorrhea

chlamydia

chancroid (hemophilus ducreyi)