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GINECOLOGIA > IST > Flashcards

IST Flashcards

1
Q

Caracteristicas vaginose

A
  • secrecao cinzenta/esbranquicada
  • pH > 4,5
  • clue cells
  • teste das aminas positivo
  • NAO EH IST
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2
Q

tto vaginose

A

metronidazol 500mg 12/12h 7d

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3
Q

Caracteristicas candidiase

A
  • corrimento em nata (esbranquicado) + prurido
    pH < 4,5
  • pseudo hifas
  • nao trata parceiro
  • teste das aminas negativo
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4
Q

tto candidiase

A

1- miconazol creme 7 dias
2- fluconazol 150 mg VO

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5
Q

Tricomoniase

A
  • trivhomonas vaginalis (protozoario)
  • IST, tratar parceiro
  • corrimento amarelo-esverdeado, bolhoso, peixe podre
  • colo em framboesa
  • pesquisar DSTS
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6
Q

tto tricomoniase

A

metronidazol 500mg 12/12h 7d para paciente e parceiro

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7
Q

Cervicite

A
  • DST
  • gonococo + clamidia
  • corrimento cervical, dispareunia, colo hiperemiado, friavel
  • TTO: ceftriaxona 500 mg IM + azitromicina 1g VO
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8
Q

DIP agentes

A
  • clamidia + gonococo
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9
Q

Diagnostico DIP

A

3 criterios maiores
- dor hipogastrica, dor anexial, dor mobilizacao do colo
Criterios menores: febre, leucocitose, uretrite
criterios elaborados: abscesso tubo ovariano, endometrite, dip na laparoscopia

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10
Q

tto DIP

A

AMB: Ceftriaxona 500mg IM + Doxiciclina + Metronidazol 500 mg VO 12/12h
HOSP: Ceftriaxona 1g EV + Doxiciclina 100 mg VO 12/12h + Metronidazol 400 mg EV 12/12h por 14 dias OU clinda + genta

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11
Q

Cancro mole

A
  • Haemophilus ducreyi
  • multiplas ulceras, fundo sujo, purulento, adenopatia que fistuliza para 1 orificio
  • TTO: Azitromicina 1g VO, dose unica
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12
Q

Cancro duro

A
  • Treponema pallidum
  • ulcera unica, indolor, que some mesmo sem tto
  • tto: penicilina benzatina 1,2 milhoes em cada gluteo, dose unica
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13
Q

Herpes genital

A
  • Herpes simolex
  • multiplas ulceras dolorosas, fundo limpo, sem pus, adenopati que nao fistuliza
  • VESICULA
  • TTO: aciclovir
  • paciente gestante: indicacao de cesarea
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14
Q

Linfogranuloma

A
  • chlamydia trachomatis
  • adenopatia que fistuliza em buico de regador, ulcera indolor
  • tto: doxiciclina 100 mg vo 12/12 h 21 d
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15
Q

Donovanose

A
  • klebsiella
  • ulcera profunda, indolor
    tto: azitromicin 1g VO 1x / semana por 3 sem
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GINECOLOGIA (9 decks)

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