gonorrea Flashcards

1
Q

2º ETS + frecuente

A

1º clamidia

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2
Q

edad

A

15-24 años

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3
Q

neisseria fonorrhoeae

A

diplococo gram -

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4
Q

transmision

A

sexual - oral, genital, anal

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5
Q

FR

A

multiples parejas sin proteccion de barrera, asplenia, deficiencia de complemente. sexo hombre-hombre, socieconomico bajo

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6
Q

CC de uretritis gonococica

A

secresion uretral mucopurulenta amarilla-verdosa
+ disuria + frecuencia urinaria

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7
Q

cervicitis gonococica

A

secresion cervical o vaginal mucopurulenta, amarilla y maloliente, dolor y sangrado cervical

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8
Q

complicaciones mujeres

A

EPI - enfermedad inflamatoria pelvica
sx de fitz-hugh-curtis

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9
Q

complicacion en hombre

A
  • epididimitis (dolor e hinchazon escrotal unilateral)
  • orquitis (testiculo grande y sensible)
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10
Q

conjuntivitis gonococica RN

A

transmision vertical al RN

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11
Q

faringitis gonococica

A

dolor de garganta, exudado faringeo y linfadenitis cervical

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12
Q

proctitis gonococica

A

secresion purulenta, sangrado y dolor anorrectal

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13
Q

dx - NAAT

A

prueba de amplificacion de acidos nucleicos

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14
Q

neisseria meningitidos

A

Gram + y NAAT -

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15
Q

tx a quien se le da?

A

pareja sexual mas reciente y a todas de los 60 dias anteriores

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16
Q

tx eleccion

A

<150kg: Ceftriaxona IM 500mg dosis unica

> 150kg: 1g IM dosis unica

17
Q

indicaciones

A

evitar relaciones sexuales 7 dias despues del tx

18
Q

con quien es comun la coinfeccion

A

clamidia

19
Q

chlamydia trachomatis

A

tx 1º doxiciclina