Adolescent Flashcards
Most common cause of urethritis
Chlamydia Gonorrhea Ureaplasma urelyticum Mycoplasma hominis Herpes simplex
Sexually active + painful testes
Epididymitis - Chlamydia/Gonorrhea
Bell clapper deformity
Testicular torsion
Ink dot sign
Torsion of testicular appendix
Bag of worms above testis when patient stands
Varicocele
- can cause testicular atrophy
Cyst at head of epididymis
Transilluminates
Spermatocele
- No rx needed
Routine pelvic exam for PAP smear not needed until age ___ unless symptomatic
21
Sexually active girl + RUQ and lower abd pain
Fitz-Hugh-Curtis
Teenager with arthritis in one joint only
Think Gonorrhea
- Patient can walk on joint
- Knee and elbow most common
- Also 2/3 of tenosynovitis or septic arthritis in young adults due to GC
16y/o sexually active boy presents with a one week h/o conjunctivitis, arthritis and urethral pain. What test is likely to indicate the diagnosis?
Urine NAATs test for chlamydia
- Reiter’s Syndrome - triggered by Chlamydia or gut pathogens
- Red eyes, red joints, red urethra
- Multi-system involvement rare but serious
- Treating chlamydia does not improve all symptoms
Bubbly discharge
Strawberry cervix
Trichomoniasis
- Unicellular flagellated protozoan
Gray-white homogenous discharge Cheesy odor Fishy odor when KOH is added pH >5 Clue cells
Bacterial vaginosis
- G.vaginalis associated with douching
Bloody, foul vaginal discharge
Foreign body
Vaginal discharge, may intensify premenstrually and may first appear several months before menarche
Physiologic leukorrhea
Treatment for syphilis chancre
IM benzathine penicillin
