Sexually Transmitted Diseases

Front 1

Syphilis causative organism

Back 1

 Caused by the spirochete Treponema pallidum

Front 2

Syphilis S/S

Back 2

Primary
 Usually marked by the appearance of a single or multiple sore (chancre)
 The chancre is usually firm, round, small, and painless.
 The chancre lasts 3 to 6 weeks, and heals without treatment


Secondary

 Typically starts with the development of a rash on one or more areas of the body, usually not itchy

Front 3

Syphilis treatment modalities

Back 3

 PCN drug of choice
 Abstinence until treatment in completes
 Notify all partners
 If women are treated before their 3rd trimester, infants are not usually affected
 Sexually Transmitted Diseases

Front 4

syphilis complications

Back 4

 Many people infected with syphilis are asymptomatic for years, yet remain at risk for late complications if left untreated (heart problems, brain damage, insanity, and even death)
 If adequate treatment is not administered, the infection progresses to the secondary stage

Front 5

syphilis affect on the pregnant woman and her fetus

Back 5

 Preterm labor or delivery
 Infected infants, without treatment, can develop brain damage, blindness, hearing impairment, bone & tooth abnormalities, or fetal death

Front 6

Genital Herpes causative agent

Back 6

 Caused by the herpes simplex viruses type 1 (HSV-1) and type 2 (HSV-2).

Front 7

Genital Herpes S/S

Back 7

 Most people are asymptomatic initially
 Symptoms include
 Itching
 Tingling
 Appearance of vesicles

Front 8

Genital Herpes treatment modalities

Back 8

 Antivirals

Front 9

Genital Herpes complications

Back 9

 The virus always remain in the body
 Primary episode - Recurrences can occur
 Recurrences can be triggered by
 Stress
 Fever
 Sunburn
 Poor nutrition
 Menses
 Sexual activity
 Transmission from mother to baby; may need a C/S

Front 10

Genital Warts (HPV) causative agent

Back 10

 Caused by the HPV – Human Papillomavirus

Front 11

Genital Warts S/S

Back 11

 Occurs on the vagina, cervix, penis, scrotum, anus, and perineal areas
 The virus lives in the skin or mucous membranes and usually causes no symptoms

Front 12

Genital Warts treatment modalities

Back 12

 No cure
 Vaccine against 4 types for young girls
 Topical creams
 Cryosurgery/freezing (liquid nitrogen)
 Electric or Laser cauterization (burning the warts)
 Surgery

Front 13

Genital Warts compliations

Back 13

 Increases risk of cervical cancer

Front 14

Genital Warts affect on the pregnant woman and her fetus

Back 14

 The disease can also be transmitted during vaginal delivery
 Depending upon amount, may necessitate C/S

Front 15

Gonorrhea causative agent

Back 15

 Caused by Neisseria gonorrhoeae, a bacterium that can grow and multiply easily in the warm, moist areas of the reproductive tract, including the cervix, uterus, and fallopian tubes in women

Front 16

Gonorrhea S/S

Back 16

 May be asymptomatic in men
 Burning sensation when urinating, or a white, yellow, or green discharge from the penis
 Painful or swollen testicles.
 Women may be asymptomatic
 Painful or burning sensation when urinating, increased vaginal discharge, or vaginal bleeding between periods
 May cause PID

Front 17

Gonorrhea treatment modalities

Back 17

 Antibiotics
 Rocephin, Cipro, Floxin
 No sex until all medication are completed!

Front 18

Gonorrhea affect on the pregnant woman and her fetus

Back 18

 Miscarriage, PROM & Premature Delivery if untreated
 If contacted by infant during vaginal delivery, can affect the infant’s eyes and joints & even cause life-threatening blood infections

Front 19

Chlamydia causative agent

Back 19

 Caused by the bacterium, Chlamydia trachomatis

Front 20

Chlamydia S/S

Back 20

 Women
 Often asymptomatic
 Vaginal discharge
 Men
 Urethritis
 Discharge from the penis

Front 21

Chlamydia treatment modalities

Back 21

 Antibiotics
 Azithromycin / Doxycycline

Front 22

Chlamydia complications

Back 22

 Causes PID in women = ectopic pregnancy and infertility
 Causes epididymitis, prostatitis, and infertility in men

Front 23

Chlamydia affect on the pregnant woman and her fetus

Back 23

 ↑ risk of PROM (premature rupture of the membranes), preterm labor or delivery
 Infant infected during vaginal delivery → Eye Infections & pneumonia

Front 24

HIV causes

Back 24

sexual contact, through blood or other body fluids. A pregnant woman can transmit it to her fetus through their shared blood circulation, or breast milk

Front 25

HIV S/S

Back 25

diarrhea, fatigue, fever, muscle stiffness, aching or swollen lymph glands

Front 26

HIV treatment modalities

Back 26

 Once mother is diagnosed with HIV, treatment with by mouth antiviral medications are given to maintain mothers’ health and to prevent the baby from becoming infected.
 During labor and delivery, mother will receive a loading dose of ZVD/AZT (zidovudine or retrovir) intravenous , followed by a continuous infusion until delivery.
 Once delivered, the baby will take ZVD/AZT (in liquid form) every 6 hours for 6 weeks after birth. Mother will resume antiviral medications by mouth

Front 27

Trichomoniasis causative agent

Back 27

 Protozoal infection

Front 28

Trichomoniasis S/S

Back 28

 Copious, malodorous yellow/green discharge
 Itching/burning

Front 29

Trichomoniasis treatment

Back 29

 Treatment is Flaygl

Front 30

Tertiary/ late syphilis

Back 30

 This stage develops in untreated cases and can mimic almost any pathologic condition
 Any organ can be affected

Front 31

Syphilis stages

Back 31

primary stage
secondary stage
latent (late) stage
Tertiary/ late syphilis

Front 32

chlamydia incubation period

Back 32

1-3 weeks to months

Front 33

chlamydia mode of transmission

Back 33

 Vaginal
 Anal
 Oral
 Contact with blood and body fluids
 During vaginal delivery from an infected mother