Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
25 Cards in this Set
- Front
- Back
|
Chlamydia treatment
a.) uncomplicated (2) b.) pregnancy |
a.) azithromycin 1g PO x 1 or doxycyline 100mg bid x 7 days
b.) azithromycin 1g PO x 1 or amoxicillin 500mg tid x 7 days doxycycline is teratogenic |
|
|
1st line chlamydia treatment
|
azithromycin
|
|
|
1st line gonorrhea treatment
|
a.) ceftriaxone 250mg IM x 1
oral cephs are not recommended |
|
|
1st line syphilis
|
Benzathine PCN
|
|
|
1st line herpes
|
Acyclovir or other antiviral
|
|
|
1st line genital warts
|
topical
|
|
|
1st line chanchroid
|
macrolides (azithromycin/ erythromycin) or FQ (ciprofloxacin)
|
|
|
1st line trichomoniasis
|
metronidazole 2g x 1
|
|
|
1st line bacterial vaginosis
|
metronidazole 500mg PO bid x 7 days
|
|
|
Chlamydia
a.) MO b.) clinical presentation c.) complication (3) d.) diagnosis |
a.) c. trachomatis
b.) generally asymptomatic c.) epididymitis (men), PID (women), neonatal conjunctivitis/ pneumonia d.) culture swabbing |
|
|
Gonorrhea
a.) MO b.) clinical presentation c.) complications (3) d.) diagnosis |
a.) N. gonorrhoeae
b.) discharge, pain c.) PID, organ dissemination, neonatal conjunctivitis d.) gram stain (g- diplococci) |
|
|
Gonorrhea treatment
a.) alternative to 1st line b.) ceph allergy |
a.) cefixime 400mg PO + 1 test of cure in 1 week
b.) azithromycin 2g PO + 1 test of cure in 1 week |
|
|
Disseminated gonorrhea
a.) presentation b.) treatment |
a.) arthritis
b.) IV cephtriaxone |
|
|
Opthalmia neonatorum
a.) causative diseases (2) b.) prophylaxis c.) treatment (gonorrhea & chlamydia) |
a.) gonorrhea or chlamydia
b.) erythromycin 0.5% opthalmic ointment c.) gon: ceftriaxone 50mg/kg IV/IM x 1; chlam: erythromycin 50mg/kg/day, total divided 4 times a day for 14 days |
|
|
Pelvic inflammatory disease
a.) causative diseases (5) b.) clinical presentation c.) diagnosis |
a.) chlam, gon, anaeroboes, g(-), CMV
b.) vaginal pain c.) elevated CRP or ESR |
|
|
PID treatment (mild-moderate)
a.) drugs b.) duration |
a.) ceftriaxone + doxycyline +/- metronidazole
b.) 14 days |
|
|
Syphilis
a.) caused by b.) diagnosis (2) |
a.) treponema pallidum
b.) treponemal = confirmatory; non-treponemal = disease progression/ titers/ antibody test |
|
|
Primary syphilis
a.) clinical presentation b.) treatment (drug & dose) c.) PCN allergy (drug & dose & duration) |
a.) chancre
b.) benzathine PCN G: 2.4 MU IM x 1 c.) doxycyline 100mg BID x 14 days |
|
|
Secondary syphilis
a.) clinical presentation b.) treatment c.) PCN allergy (drug & dose) |
a.) rash/fever
|
|
|
Pregnant/HIV with primary/secondary syphilis
a.) treatment b.) duration |
a.) benzathine PCN G: 2.4 MU IM x 1
b.) consider 1-2 weekly doses (3 course) |
|
|
Jarish-Herxheimer reaction
a.) symptom b.) when does it occur |
a.) flu-like b/c of dying spirochetes
b.) hours after primary/secondary treatment of syphilis |
|
|
Early latent
a.) when b.) infectious? c.) treatment d.) follow-up |
a.) < 1 year from onset of infection
b.) yes! c.) like primary/secondary syphilis: benzathine PCN G 2.4 MU IV x 1 d.) 24 months |
|
|
Late latent
a.) when b.) infectious? c.) treatment & duration d.) alternative & duration e.) follow-up |
a.) >1 year at onset of followup
b.) no, unless pregnancy transmission c.) benzathine PCN G 2.4 MU IV qweek x 3 d.) doxycline or tetracycline x 28 days e.) 6, 12, & 24 months |
|
|
Tertiary syphilis
a.) clinical presentation b.) treatment & duration c.) alternative & duration |
a.) gummatous lesions, CNS effects
b.) benzathine PCN: 2.4 MU IV x 3! c.) doxycyline/tetracycline x 28 days |
|
|
Neurosyphilis
a.) treatment b.) symptom |
a.) PCN G IV + probenecid
b.) meningitis |
