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9 Cards in this Set
- Front
- Back
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HIV/aids |
Aids- cd4 <200 Sx- thrush, fever, wt loss, diarrhea, cough, sob, purp-blue bumps on skin. Pneumocystis jirovecci- most deaths- Prophylaxis - Bactrim ELISA test screen Confirm dx- western blot. Both test IgG antibodies Both pos- HIVPCR/HIVRNA
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Acute retro viral syndrome |
Primary HIV infx Most contagious -high viral load First few wks of infx HIV antibody test neg, HIV-PCR |
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Disseminated gonococcal disease |
Petechial pustular rash hands/soles, swollen red tender joints in 1 lg joint if pharyngitis- green purulent throat exudate
Need infectious disease and iv rocephin |
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Chlamydia |
Most common std Asymptomatic Nucleic acid amplification test (naat) Tx uncomplicated- azithro 1g once or doxy 7d Sex partner- azithro 1g Preg- need test of cure, azithro 1g or amox 7d Complicated- PID- rocephin im and doxy 14d w or wo flagyl 14d
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Neisseria gonorrhea |
Gram neg If untx - systemic infx Purulent green discharge Friable cervix (bleeds easily) Males- pain urinating penile discharge Tx- rocephin IM plus azithro 1g once or doxy 7d |
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Fitz-hugh-Curtis syndrome (peri hepatitis) |
G+c infx of liver capsule. Complication of PID and or gc RUQ pain and tenderness, LFT normal TX 14d gc |
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Jarisch-herxheimer reaction |
Acute febrile rxn after 1st 24hrs of tx, usually syphallis |
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Reiters syndrome |
Can't see can't pee or climb tree M w hx chlamydia. Tx NSAIDs |
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Syphilis |
Primary painless chancre Secondary condyloma lata (white papules in moist areas that look like white warts), maculopapular rash palms and soles Latent pos titers Tertiary 3-10yrs neurosyphilis, gumma (soft tissue tumors) aneurysms, valvular damage
Labs Screening- RPR VDRL DX- FTA-ABS, DFA-T
Tx- Primary- benzathine pcn g im |
