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23 Cards in this Set
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Complication of having inflammatory disease caused by vaginal infection such as gonorrhea of chlamydia. Causes inflammation and infection in pelvic cavity |
Fitz- Hugh Curtis Syndrome |
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Sexually active female with symptoms of PID complains of RUQ abdominal pain and tenderness on palpation. Liver function test are normal |
Fitz- Hugh Curtis Syndrome (perihepatits) |
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Fitz Hugh Curtis Syndrome Treatment |
Doxycycline 100mg BID x 14 days + Ceftriaxone 250 mg IM x 1 dose |
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Acute febile reaction that occurs 24 hours after treatment of STD (more common in syphilis treatment). Symptoms of fever, chills, myalgia |
Jarish- Herxheimer Reaction resolves spontaneously |
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Primary Care of HIV Adults Immunization Guidlines |
pneumonococcal tetanus Hep A + B Flu annually Never administer live of attenuated vaccines |
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HIV initial presentation lasts <14 days |
fever pharyngitis nonpruritic macular rash malaise headache lymphadenopathy |
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Established HIV assessment finding |
anemia leukopenia thrombocytopenia involuntary weight loss persistent diarrhea severe chronic fatigue dementia peripheral neuropathy presence of opportunistic infections |
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Profuse grayish- white malodorous vaginal discharge; u pleasant fishy odor that increases after intercourse pruritus and burning of vulvovaginal area |
bacterial vaginitis |
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bacterial vaginitis diagnostic criteria |
gold standard: gram stain pH >4.5 whiff test = fishy odor |
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Most frequently reported infectious disease in the US; associated with PID, infertility, and ectopic pregnancy most common <25 y/o |
chlamydia |
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Macupurulent cervicitis, vaginal discharge and cervical motion tenderness with dysuria and abnormal vaginal bleeding- women prostatitis, pelvic pain, urethritis and dysuria - men |
Chlamydia |
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Chlamydia treatment |
Doxycycline 100 mg BID x 7 days OR Azithromycin 1 gram ONCE DX: NAAT, DNA Probe |
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Males: purulent urethral discharge, dysuria, testicular pain Females: often asymtomatic, endocervical discharge, dysuria, Bartholins gland abcess, abdnormal vaginal bleeding, abdominal pain, cervical motion tenderness |
Gonorrhea |
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Gonorrhea Diagnostic Test |
gram stain DNA probe |
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Gonorrhea treatment |
Ceftriaxone (Rocephin) 250 mg PLUS Azithromycin 1g OR Doxycylcine 100 mg BID x 7 days |
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Female: vaginal discharge "froothy, difuse with yellow, green color", vulvar irritation, dysuria, strawberry cervix Male: urethral discharge, dysuria, epididymitis, prostatitis |
trichomoniasis |
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Trichomoniasis treatment |
metronidazole (Flagyl) 2g OR tridazole (Finadamax) 2g Orally |
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Tichomoniasis Diagnostic tests |
wet prep vaginal pH >4.5 |
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Syphilis treatment - |
benzathine penicillin G (Bicillin) 2.4 million units PCN allergy: doxycylcine, erythromycin |
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reaction to endotoxin like products released by the death of harmful microorganisms int he body during antibiotic treatment resembles bacterial sepesis |
Jarish - Herxheimer reaction occurs in 30% of patients treated for primary syphilis occurs in 70% of patient treated with secondary syphilis within 24 hours of treatment |
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Small painless open sores on genitals, mouth, skin or rectum. Enlarged lymph nodes in area of sores |
Primary Syphilis |
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Skin rash on hands and feet, sores on mouth vagina and penis; moist warty patches on genitals- vision loss- hair loss- fever and malaise |
Secondary Syphilis |
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Tuberculosis Drugs |
Isoniazid #1 Drug Rifampin (Rifadin) |
