13. STIs / Women's Health Flashcards Preview

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Flashcards in 13. STIs / Women's Health Deck (48):
1

8 Bacterial STIs

• Chlamydia
• Gonorrhea
• Syphillis
• Chancroid
• Lymphogranuloma Venerum
• Genital Mycoplasms
• Group B Strep

2

5 Viral STIs

• HIV
• HSV I and II
• Cytomegalovirus
• Hepatitis B and C
• HPV

3

Protazoal STI (1)

• Trichomoniasis

4

Parasitic STIs (2)

• Pediculosis
• Scabies

5

Chlamydia: Causal organism

Chlamydia trachomatis

6

Chlamydia: Symptoms (4)

Rarely symptomatic, but may report:
• Mucopurulent Discharge
• Postcoital bleeding
• Dysuria
• Bartholin's Abcess

7

Chlamydia Diagnosis (2)

Urine or swab

8

Chlamydia: Treatment

Azithromycin

9

Gonorrhea: Symptoms (4)

Rarely symptomatic in women, but may complain of:
• Purulent discharge
• Dyspareunia
• Dysuria
• Bartholin's Abcess

10

Dyspareunia (def)

Painful intercourse)

11

Dysuria (def)

Painful urination

12

Gonorrhea: Symptoms

Ceftriaxone

13

Pelvic Inflammatory Disease: Cause

Complication on untreated GC, CT or other organism

14

Pelvic Inflammatory Disease: Risk factors (5)

• Young age
• Multiple partners
• History of STIs
• STI at time of IUD placement
• Douching

15

Minimum criteria for PID dx (3)

• Lower abdominal pain
• Bilateral adnexal tenderness
• Cervical motion tenderness

16

PID can result in... (3)

• Ectopic pregnancy
• Infertility
• Chronic Pelvic Pain

17

Syphilis: Timing of primary, secondary, tertiary

Primary: 10-90 days after infection
Secondary: After primary sxs
Tertiary: After 1-20 years of latency

18

Syphilis Birth defects (3)

• Deafness
• Bone deformities
• Neurological impairment

19

Primary Syphilis: Symptoms (3)

• Chancre
• Inguinal lymphadenopathy
• Can pass from mother to baby

20

Secondary Syphilis Symptoms (5)

• Palmar and plantar rash (not itchy)
• Condyloma Lata (genital warts)
• General malaise
• Fever
• Headache

21

Tertiary Symptoms (4)

• Neurologic
• Cardiovascular
• Musculoskeletal
• Multi-organ system complications

22

Syphilis Screen

Non-treponemal-antibody tests

(non-specific blood tests)

VDRL and RPR

23

Syphilis Diagnostic Test

(to administer if screen is positive)

Trepenomal Tests: FTA - ABS

24

Syphilis Treatment

Penicillin

25

Human papilloma Virus: Most common causal organisms (2)

HPV 6 & 11

26

HPV Diagnosis (2)

• Visual inspection
• PAP smear

27

HPV treatment (3)

• No cure
• Episodic treatment by topical podofilox
• Comfort measures

28

Comfort measures for HPV and HSV

• Oatmeal Bath
• Cotton Underwear
• Loose fitting clothing
• Keep lesions dry (HSV)

29

Symptoms of HSV: Initial episode (5)

• Multiple breakouts
• Fever
• Chills
• Malaise
• Vulvar edema

30

Symptoms of HSV: Recurrent episodes (2)

• Localized, prodromal tingling
• Painful, recurrent ulcers

31

Diagnosis of HSV (2)

• Culture: Swab of lesion (must pop blister to test)
• HSV PCR = Blood test

32

Sensitivity of HSV Blood test

80-90% effective

33

Treatment for HSV (3)

____CLOVIRs:

• Acyclovir
• Famcyclovir
• Valcyclovir

34

3 primary routes of transmission: HIV/ AIDS

1) Sexual
2) Parenteral (blood-borne)
3) Perinatal

35

HIV: Diagnostic Testing Recommendations

Diagnostic testing for all women 13-64

36

HIV Screen

Elisa Enzyme Immunoassay or Rapid Test

37

HIV Diagnosis (Confirmation)

Western Blot or Immuno-fluorescence assay

38

Antenatal treatment / obstetric risk reduction can reduce HIV transmission how much?

So that transmission rates are less than 2%

39

Trichomoniasis symptoms (6)

May be asymptomatic, or:
• Yellow-green, frothy malodorous discharge
• Inflammation of the vulva and vagina
• Irritation
• Pruritis
• Dysuria
• Dyspareunia

40

Trichomoniasis diagnosis

• "Strawberry cervix"
• MAY be identified on pap smear

41

Trichomoniasis treatment

Systemic Metrodazole (Flagyl)

42

Bacterial vaginosis: Symptoms

• Profuse gray / white discharge
• Fishy odor

43

BV Diagnosis

• Culture: Add KOH, whiff test
• Clue cells on slide

44

What are clue cells

(epithelial cells slough off, bacterial cells attach to them -- cells are packed together)

45

BV Treatment

Metronidazole

46

Candidiasis Symptoms

• Cottage cheese discharge

(Severe: clear discharge because other dc is so thick it doesn't come out

47

Candidiasis diagnosis

• Swab, slide, add KOH - wetmount: See PSUDOHYPHAE (yeast buds)

48

Candidiasis tx (4)

• Topical antifungals
• Oral difucan
• Comfort measures
• Hygiene