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14 Cards in this Set
- Front
- Back
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Chlamydia Trachomatis
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-Cx: gold standard for dx
-Tx: Azithromycin 1g PO single dose -Doxyccline 100 mg PO BID x7d -No sex until 7 days after tx is started |
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Chlamydia in Pregnancy
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-don't tx with doxycycline, ofloxacin, or levofloxacin
-amoxicillin or erythromycin -Amoxicillin is more effective |
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Reiter's Syndrome
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-Reactive arthritis from Chlamdia infection
-asymmetrical with mutliple joings -"can't see, can't pee, can't climb a tree" |
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Neisseria Gonorrhea in Women
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-Sx: odorless vaginal d/c, VB esp after intercourse, dyspareunia
-PE: cervicitis with mucopurulent drainage from te oss; friable cervix |
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N. Gonorrhea in Men
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-2-6 day incubation period
-purulent d/c -dysuria -fever (possible) -PE: epididymis swollen and TTP |
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Treatment for Uncomplicated Gonorrhea Infection
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ALL SINGLE DOSES:
-Cefixime 400 mg PO -Ceftriaxone 125 mg IM -Ciprofloxacin 500 mg PO -Levofloxacin 250 mg PO -Ofloxacin 400 mg PO |
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Treatment of Disseminated Infections
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-Cetriaxone 1 g IM or IV q24 for 24-48 hrs after clinical improvement begins
-Switch to oral regimens for 7 days |
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Oral Tx for Disseminated Gonococcal Infections
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-Cefixime 400 mg BID
-Ciprofloxacin 500 mg BID -Oflloxacin 400 mg BID -Levofloxacin 500 mg daily |
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Pelvic Inflammatory Disease
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-h/o lower genital tract infections that ascend causing acute salpingitis
-Sx: abd pain, high fevers, dyspareunia, prolonged menses, and intramenstrual bleeding |
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Outpatient Treatment (regimen A) of PID
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14 days
-Ofloxacin 400 mg PO BID OR -Levofloxacin 500 mg PO daily WITH OR WITHOUT -Metronidazole 500 mg BID |
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Preferred Inpatient Treatment Regimen of PID
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-Cefotetan 2 g IV q6h
OR -Cefoxitin 2 g IV q6 PLUS -Doxycycline 100 mg PO or IV q12h |
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Tx of external HPV lesions
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-types 6 and 11
-Cryotherapy with liquid nitrogen -Surgical removal -Pt tx: Podofilox gel and Imiquimod cream |
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Tx of Syphilis:
Primary, Secondary, and Early Latent |
PCN G 2.4 million units IM single dose
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Tx of Syphilis:
Late latent, Tertiary, or unknown duration |
PCN G 2.4 million units IM q1 week x3 weeks
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