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11 Cards in this Set

  • Front
  • Back

Bacterial sti

Gram negative bacteria.


Chlamydia, gonorrhea, syphilis

Viral sti

Genital herpes: hsv1&2


Genital warts: hpv


HIV, AIDS, hep b/c, molluscum

Gonorrhea

2nd most common. 1-3 week.


Urethra/cervix. Rectum/oropharynx.


May be asymptomatic - especially women.


Vaginal discharge, dysuria, polyuria, bleeding after sex, redness/swelling of cervix, purulent exudate. Pid and bartholin gland inf.


Dysuria, purulent urethral discharge, epidymitis, Sore throat, Mucopurulent rectal discharge, bleeding, pain, pruritis, painful bm.


NAAT, culture, gram stain.


Opthalmia neonatorum


IM ceftriaxone + oral azithromycin due to resistance.

Syphilis

The great pretender. Direct contact with chancres.


10-90 (21) day incub


4 stages: primary (chancres, 3-6 wk, infectious), secondary systemic (infectious, flulike, rash), latent (no s/s), late tertiary (most complications, 1-20 years, gummas, cardio, neuro, muscular).


Gummas, cv, Neuro


Diagnosed with vdrl, rpr, confirmed with fta-abs, tp-pa


Penicillin G benzathine. Follow up every 6 mo for 2 years

Warts

Hpv6&11. Skin to skin. Not usually reportable.


Weeks - years incub. Confirmed with biopsy.


Cleared after 1-2 years.


Gardasil, cervarix, gardasil 9


TCA, BCA, podophyllin resin.


Cryotherapy, electrocautery, laser therapy.

Herpes

Hsv1&2 severity decrease over time.


Becomes dormant in nerves. Easily transmissible when lesions are present. May have asymptomatic shedding.


Primary incubation of 2 day - 2wk


4 stages: prodromal (burning, tingling, itching), vesicular (blister), ulcerative (ruptured blister), final (crusting of ulcer). ~3 weeks.


May pass to infant eyes skin mouth cns.


Visual exam, cultures, blood.


Acyclovir, valaciclovir, fanciclovir. Lidocaine, ice, apap

Chlamydia

Most common. 1-3 week incubation. Treatment does not confer immunity. Urethritis, epididymitis, cervicitis.


May be asymptomatic, mucopurulent dc, bleeding, dysuria, dyspareunia.


NAAT: cervical, vaginal, urethral swabs. Or urine testing. High rate of recurrence, retest 3 months after tx. EPT recommended


Doxy/azith x7 days

Trichomoniasis

Protozoa. More common in women, especially with hiv.


1 week - 1 mo+ incub.


Urethra/cervix. Rarely anus, unknown throat.


Asymptomatic, urethral dc, painful urine/ejac. Vaginal itch, painful urination, dyspareunia, bleeding free sex, yellow green dc with foul odour, strawberry cervix.


NAAT - vagina, cervix, urine. Culture, direct visualization of trich.


Metronidazole, tinidazole. Repeat test in 3 mo

Nurses required to report

Gonorrhea, syphilis, usually chlamydia

Disseminated gonoccal infection

DGI.


Rare. Skin lesions, fever, arthalgia, arthritis, endocarditis.

Chondylomata lata

Moist weeping papules in anogenital area.