Stds

Front 1

what 3 medical condition have to be reported?

Back 1

GCS gonorrhea, chlydmia, syphillis

Front 2

symphillis

Back 2

3rd most common
trepanema palladem
non-trep test is used in the work up.

Front 3

4 stages of symphillis

Back 3

primary-3 or 4 wks post exposure--chancre at site of innoculation. indurated and painless. then goes away

Front 4

stage 2 syphillis

Back 4

secondary-a flu like prodrome with a generalized macropapular rash, esp palms and soles. Latent is asymptomatic but positive. lymphadenopathy, malaise, anorexia, alopecia, arthralgias

Front 5

stage 4 syphillis

Back 5

tertiary--multisystem--CV, Neuro
Leukoplakia
cardiac insufficiency
aortic aneurism
meningitis
hemiparesis
hemiplegia

Front 6

Lab tests for syphillis?

Back 6

VDRL and RPR (aka non-treponemal tests) --may be neg or positive but trepanemal confirms. the Fluorescent treponemal antibody absorption (FTA-ABS): confirms positive in 85-95% of primary cases and 100% in secondary cases

microhemagglutination assay for antibody to T. pallidum (MHA-TP)

Front 7

pharm management of syphillis?

Back 7

For primary, secondary or learly syphilis of less than 1 year: Benzathine penicillin G2.4 million units IM

Late, latent and indeterminate length: tertiary stage--Benzathine penicillin G 2.4 million units IM weekly x 3 weeks

for PCN allergy: Doxycycline 100 mg orally twice a day or erythromycin 500 mg orally 4 times a day.

DONT FORGET TO REPORT TO HEALTH DEPARTMENT

Front 8

Chlamydia patho?

Back 8

most common std in U.S.--A parasitic STD caused by Chlamydia trachomatis which produces serious reporoductive tract complications in either sex

Front 9

S/S of chlamydia

Back 9

Cervicitis/urethritis
discharge
dysuria
***dispareunia****
intra-menstral spotting

MALES:
often asymptomatic
dysuria
thick, cloudy penile discharge
testicular pain
postcoital bleeding

Front 10

Lab tests for chlamydia and management?

Back 10

culture--EIA methods, gram stain. --takes 3 to 9 days for results

enzyme immunoassay (EIA) methods preferred (low cost; 30 to 120 min for results)

TREATMENT;
Treat with Azithromycin 1 GM PO x 1 OR Doxycycline (Vibramycin) 100 mg PO BID x 7 days
alternatives: erythromycin, ofloxacin, lovefloxacin

REPORT TO HEALTH DEPARTMENT
--if they have this treat for gonorrhea too

Front 11

Patho of Herpes. S/S

Back 11

Viral! HSV1-usually on face. HSV2 usually on genitalia. papules-painful-vesicles
initially: fever, malaise, HA, dysuria, painful/pruritic ulcers for usually 12 days
Recurrent: less painful/pruritic ulcers for usually 5 days


culture it

Front 12

management for Herpes?

Back 12

treat with Acyclovir

Front 13

What are the S/S of gonorrhea?

Back 13

females: vaginal green discharge, abdominal pain, frequency, labial pain and swelling, fever, abnormal periods, dysmenorrhea, N/V, dysuria or may be asymptomatic 80%!!!

Men: often asymptomatic
dysuria
frequency
white/yellow-green penile d/c
testicular pain

Front 14

what do we treat gonorrhea with?

Back 14

cefixime (suprax)
cipro
levaquin
Must treat for chlamydia when you treat for gonnorhea

Front 15

What is the difference between Rheumatoid arthritis and osteoarthritis?

Back 15

rheumatoid is an autoimmune dz affecting the cartilage, tendons and ligaments, systemically CV, renal and pulmonary systems

Front 16

What is the patho for PID?

Back 16

gonorrhea, trachomatis, other STDs.

Front 17

S/S of PID?

Back 17

abd pain or tenderness, cervical motion tenderness, adnexal tenderness. may have: fever, wet prep WBC > 10 per HPF
ESR> positive culture

Front 18

Treatment for PID?

Back 18

Levaquin w/s Flagyl
Hospitalize: cant follow up, febrile, N&V, pregnancy

Front 19

3rd clinical stage in syphillis?

Back 19

latent--seropositive but asymptomatic

Front 20

What lab tests/diagnostics are used to diagnose herpes?

Back 20

papanicolaou, or tzanck stain
**most definitive test is a viral culture
60% of ppl have hsv1

Front 21

What is mgmt for herpes?

Back 21

cant cure
symptomatic tx w/ drying and antipuritic agents
Acyclovir (Zovirax) recommended for topical, oral and IV use
also famciclovir and valacyclovir (esp. useful for asymptomatic viral shedding of hsv2)

Front 22

What is vulvovaginitis?

Back 22

an inflammation OR infection of the vulva and vagina most commonly caused by bacteria, protozoan and/or fungi

Trichomoniasis, bacterial vaginosis and candidiasis are commonly responsible for vulvovaginitis. Of the three, only trichomonas, often asymptomatic in men, is considered sexually transmitted.

Front 23

What are S/S of vulvovaginitis?

Back 23

**Trichomonas: maladorous, frothly yellowish-green discharge, pruritus, vaginal erythema, ***Strawberry patches on cervix and vagina, dyspareunia, dysuria

Bacterial vaginosis: "fishy" smelling d/c which is watery and gray, vaginal spotting

Candidiasis: thick, white, curd-like discharge; vulvovaginal erythema w/ pruritus"

Front 24

what do you treat trichomonas with?

Back 24

Metronidazole (Flagyl) 2g PO x 1; 500 mg PO BID x 7 days

Front 25

what do you treat bacterial vaginosis with?

Back 25

Metronidazole (Flagyl) 2g PO x 1 OR 500 mg PO BID x 7 days; gel 0.75%, 5g, intravaginally BID x 5 days
OR
Clindamycin (Cleocin) vaginal cream 2% 5g, intravaginally at HS x 7 days; or 300 mg PO BID x 7 days

Front 26

what do you treat candidiasis with?

Back 26

miconazole (mono-stat) or clotrimazole (gyne-lotrimin) 1% 5 g intravaginally at HS x 7 days
Terconazole (Terazol) 80 mg suppository @ HS x 3 days
Butaconazole: 3 applications