2: S/S of STIs

Question 1

1. Foul-smelling (fishy), frothy, thin green-yellow discharge
2. irritation / pruritus in genitals/thighs
3. pain with urination
4. painful intercourse
5. swelling in groin
6. Men may develop urethritis, balanitis or cutaneous lesions on the penis
7. frequently, may be asymptomatic.

Answer 1

Trichomoniasis

Question 2

Single, painless sore.

Answer 2

Syphilis

Question 3

Single, painful ulcer.

Answer 3

Chancroid

Question 4

1. S/S appear ~21 days post exposure but can take 10-90 days.
2. Single sore. Firm, round, painless. Lasts 3-6 weeks regardless of treatment.

Answer 4

Syphilis.

Question 5

1. Fever
2. malaise
3. rash
4. myalgias
5. lymphadenopathy
6. sore throat
7. headache

Answer 5

HIV

Question 6

Pruritus is main symptom.

Answer 6

Pediculosis Pubis (Pubic lice or crabs)

Question 7

1. skin rashes
2. jaundice
3. liver enlargement or tenderness
4. Wt loss
5. fever
6. general debilitation

Answer 7

Hep B

Question 8

• Usually asymptomatic, or present with “bumps” on vaginal introitus, vulva, labia, or anus.
• Vaginal discharge, itching, dyspareunia, and postcoital bleeding are possible but less common.

Answer 8

HPV (Gential Warts)

Question 9

1. If untreated, rashes and/or sores in mouth, vagina, or anus appear.
2. Usually NOT itchy, appears as rough, red, or reddish-browns pots both on palms of hand and/or bottoms of feet.
3. Large, raised, gray or white lesions in warm, moist areas (mouth, underarm, groin).
4. Fever, swollen lymph nodes, sore throat, patchy hair loss, HAs, wt loss, muscle aches, fatigue.
5. Symptoms go away even if untreated.

Answer 9

Syphilis

Question 10

1. Single or multiple vesicular, pruritic lesions, appearing anywhere on the genitalia.
2. Vesicular lesions, spontaneously rupture to form shallow painful ulcers.
3. 1st episode infx lasts approximately 3 weeks, recurrent infx are shorter.
4. Viral shedding without symptoms during interval.
5. Inguinal and general lymphadenopathy and fever may be present.

Answer 10

Herpes

Question 11

1. Small, 2-5mm white, pink, or flesh-colored bumps or growths with dimple or pit in center.
2. Usually painless but potentially red/sore/swollen.
3. Mostly occurs on trunk and anogenital region
4. May appear bulky or diffuse with HIV/immunocompromised

Answer 11

Molluscum

Question 12

Strawberry cervix

Answer 12

Trichomoniasis

Question 13

1. Rectal infx: discharge, anal itching, soreness, bleeding, painful bowel movements, or no symptoms.
2. Throat infx: sore throat, often asymptomatic.

Answer 13

Gonorrhea

Question 14

1. Women frequently asymptomatic (ulcers may occur internally or go unnoticed).
2. Single, painful ulcer surrounded by erythematous edge in men.
3. Ulcers may be necrotic or severely erosive with ragged serpiginous border.

Answer 14

Chancroid

Question 15

1. Vague and nonspecific.
2. Fatigue
3. fever
4. abd pain
5. n/v
6. anorexia
7. jaundice
8. dark urine
9. clay-colored stools
10. Avg time from exposure to s/s is 4-12 weeks, but can be 24 weeks later.

Answer 15

Hep C

Question 16

• Painful, inguinal lymphadenopathy (aka bubo) in half of cases, which may turn into an abscess and need drained.
• Usually occur on corona, glans, or shaft of penis.

Answer 16

Chancroid

Question 17

1. Burning with urination
2. white/yellow/green discharge appearing 1-14 days after infx
3. swollen/painful testicles
4. men may have dysuria, frequency, purulent discharge but ¼ are asymptomatic
5. majority of women have no symptoms (95%)/mild: painful burning with urination, increased vaginal discharge, intermenstrual bleeding.

Answer 17

Gonorrhea

Question 18

1. Dysuria
2. urinary frequency
3. purulent mucous urethral discharge
4. Many men are asymptomatic

Answer 18

Nongonococcal Urethritis

Question 19

Bubo

Answer 19

Chancroid

Question 20

1. Yellow or white/yellow discharge (may need to milk penis)
2. pain w urination
3. pelvic pain
4. pain with intercourse
5. spotting between periods
6. inflammation of rectum or cervix
7. swelling/pain in testicles
8. excessive vaginal bleeding
9. epididymitis
10. 85% asymptotic in both men and women

Answer 20

Chlamydia

Question 21

• Pain/tenderness in lower abdomen, cervix, uterus, or adnexa
• fevers, chills
• increased WBCs
• increased ESR
• increased CPR
• May be asymptomatic or have atypical symptoms
• More common in women within 5-10 days of menstrual cycle

Answer 21

PID