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;
10 Cards in this Set
- Front
- Back
|
Gonorrhea
|
G(-) diplococcus, infection resolves on its own in 2-3 months; Cx to dx (thayer-Martin media)
URETHRAL D/C NAAT or CX to dx Fitz-Hugh-Curtis: peri-hepatic TX: Ceftriaxone, Cefixime and Ceph!! |
|
|
Chlamydia
|
strains D-K cause Chlamydia;
Definitive dx by cx only; NAAT (nucleic acid amplified test) ok too; urethral swab for sample (urine sample for NAAT) Tx: Doxy/Levo/Erythro x 7 days; Azithro x 1 dose |
|
|
T. pallidum
|
exudate: DFA or dark-field micro
RPR/VDRL (also measure resp to tx - will become (-)) Tx: Benzathiane Pen G 2.4Mil units x 1 dose (alt) Doxy 100 BID x 14 days (preg) desens to PCN conf with: FTA-ABS, TP-PA |
|
|
Trichamonas
|
Metronidazole 2 g x1 (no boob feeding for 24hrs)
|
|
|
LGV
|
Chlamydia L1,L2,L3
small pap/pustule (often not noticed) ...2-6 wks later TENDER inguinal ADENOPATHY; skin overlying becomes erythematous, indurated, may develop sinus tracts TX: Doxy 100 BID x 21 days alt/preg: Erythro base 500 PO QID x 21 days |
|
|
Chancroid
|
H. ducreyi
PAINFUL genital ulcers, ragged edges, grey exudate TX: Azithromycin 1 gm x 1 alt/preg: Erythro base 500 QID x 7 days |
|
|
HSV
|
Painful vesicles, erythematous base
Tzanck Smear - multinuc giant cells Test IgG and IgM (lasts 3 mo) TX: Acyclovir 400mg PO TID x 7-10 days; Recurrence <6x/year Acyc 400 TID (or 800 BID) x5 days @ outbreak; >6x/year Acyc 400 BID long-tern |
|
|
HPV
|
warts 6 & 11 (low onc potential)
cancer 16,18 (31,33) Gardacil 6,11,16,18 Aldara (Imiquimod) 3x/week 5-FU for intraurethral warts |
|
|
NGU
|
non-GC urethritis in males:
Chlamydia, Ureaplasma, Mycoplasma Doxy x 7 days or Azith 1gm x1 alt: Erythro base 500 QID x 7 failure: Metronidazole 2 gm (trich) or Azith (if not used for primary tx) |
|
|
Granuloma Inguinale
|
Klebsiella granulomatis
intracellular "Dumbbells" Donovan Bodies non-purulent "beefy-red" PAINLESS ulcer - vascular and bleed easily TX: Doxy 100 BID x 3 weeks Alt/Preg: Erythro base 500 QID |
