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6 Cards in this Set

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Syphilis


caused by the spirochete Treponema pallidum



spread by sexual contact or during birth

primary stage (10 days to 3 months)


painless chancre on genitalia, mouth, or anal canal


serous drainage from chancre


enlarged lymph nodes



secondary stage (2 weeks to 6 months after chancre heals)


rash on palms of hands and feet wartlike growths


signs of infection- hair loss, fever, malaise, weight loss


latency stage


no signs of infection


will still test positive for syphilis



tertiary stage


slowly progressive inflammatory disease


attacks multiple organs


signs-dementia, psychosis, paresis, stroke, meningitis



treatment


Penicillin G an IM injection


NCLEX tips: know the signs of each stage, remember the painless chancre with syphilis.

Gonorrhea



cause by gram-negative N. gonorrhoeae



transmitted by sexual contact and birth



may be asymptomatic

possible signs males


discharge from penis


dysuria (painful urination)




possible signs female


purulent yellow/greenish vaginal discharge


vaginal bleeding


pelvic inflammatory disease (PID)- is an inflammatory condition of the pelvic cavity. Symptoms include lower abdominal pain, fever, malaise, nausea. This primarily affects the fallopian tubes. Gonorrhea and chlamydia are the most likely causes. Treatment includes pain meds and antibiotics.



treatment


Rocephin (ceftriaxone)


A contagious inflammation of the genital mucous membrane caused by gonococcus--called also the clap

Chlamydia


most common STD



70% of cases are asymptomatic



spread by sexual contact/birth


incubation period for the bacterium is 1 to 5 weeks,

possible signs males


urethritis


frequent urge to urinate



possible signs females


PID


infertility


ectopic pregnancy



Treatments


Doxycycline or Azithromycin (Do not give either during pregnancy)

* If a client has gonorrhea, syphilis, or PID suspect they have Chlamydia

Chlamydia


Patient teaching

General patient teachings:



Do not have sexual contact until after treatment is complete



Treat sexual partners at the same time



Take full course of antibiotics



Use latex condoms to prevent STDs

Chancroid


painful lesion that appears, typically, in the urogenital region over a 1 to 2 day period

venereal disease caused by a hemophilic bacterium (Hemophilus ducreyi) and characterized by chancres that lack firm indurated margins, unlike those of syphilis.

incubation period of H. ducreyi is 3 to 10 days. correlated with human immunodeficiency virus (HIV)

Herpes simplex virus (HSV)


member of the human herpes viruses (herpetoviridae)


HSV I and HSV II


transmitted sexually and both can cause lesions in the genital area. HSV II causes 70 to 95 percent of genital herpes infections

fever, aches, and headache in addition to symptoms in the genital region. Genital symptoms may begin as pain, itching, painful urination, vaginal or urethral discharge, and lymphadenopathy and progress to the development of characteristic lesions. lesions may appear on the penis, scrotum, buttocks or anus in a man, and on the labia, in the vagina, on the cervix, and on the anus or buttocks in a woman

Recurrences: include exposure to sunlight, fever, trauma, diminished cellular immunity, and emotional stress


can be passed from mother to child during birth