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7 Cards in this Set
- Front
- Back
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Chlamydia |
*aka non-gonococcal urethritis & cervicitis routine screening of all sexually active females <25yo - most common STD Tx: Azithromycin PO single dose OR doxy x 7 days *tx sexual partners |
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Gonorrhea |
*aka gonoccocal urethritis & vaginitis routine screening of all sexually active females <25yo- repeat testing 3mo if previously tested positive Tx: Ceftriaxone IM 1 dose PLUS azithromycin 1 dose OR doxy x 7 days (treating or chlamydia as well) |
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Syphilis |
- spirochete infection Primary: painless chancre (heals 6-9wks w/o tx) Secondary: >2yrs, condyloma lata (infectious white papules), maculopapular rash on palms & soles (not pruritic), oral lesions as well Tertiary: 3-10yrs, cognitive changes Latent: asx but (+) titers Labs - Screening: RPR or VDRL Tx: benzathine PCN G IM 1 dose - recheck RPR or VDRL @ 6&12mo *common men w/ men |
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HIV/AIDS |
*best sign tx success = undetectable viral load (<50) CD4 T-cell count: stages HIV infection CD4:CD8 ratio: monitor depletion of CD4 cells Screening test: ELISA Confirmatory test: Western Blot *both tests (+) then order HIV PCR/HIV RNA = dx test Prophylaxis for opportunistic infxn: CD4 count <200, tx w/ bactrim Monitoring viral load: HAART or ART q1-2mo Post-exposure: HAART regimen (w/in 72hrs) w/ zidovudine + lamivudine + tenofovir |
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Condyloma acuminata (genital warts) |
*most commonly HPV 6&11 - cervical HPV: risk for cervical CA - colposcopy: gold standard dx cervical CA Tx: topical podofilox cream/gel |
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Herpes simplex |
HSV1: oral HSV2: genital Tx: acyclovir 3x/day 7-10 days |
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Pelvic inflammatory disease (PID) |
*infectious, inflamm disorder of upper female reproductive tract Organisms: gonorrhea & chlamydia Sx: irritative voiding sx, fever, abd pain, cervical motion tenderness Tx: ceftriaxone IM 1 dose + doxy PO BID x 14 days with or without metronidazole PO x 14 days |
