Flashcards in EXAM #2: STIs Deck (47):
How is syphilis diagnosed?
2) Darkfield microscopy
3) VDRL, RPR
4) Flourescent antibody
How is chancroid diagnosed?
What increases the risk for chancroid?
1) Developing countries
2) Commerical sex workers
What is the relationship between chancroid and HIV? What are the implications?
- H. duceryi is a cofactor for HIV
- Test for HIV at time of chancroid diagnosis
What is the treatment for chancroid?
Azithromycin or Ceftriaxone
What is the most common STI in women?
How is HSV diagnosed?
If a patient is positive for HSV on serology (without genital ulcers) can you diagnose them with HSV-1 or HSV-2?
What is primary HSV? How does this relate to pregnancy?
1) Culture positive HSV
2) Antibody negative
*Highest transmission rate in pregnancy
What is nonprimary first episode HSV?
1) Culture positive
2) HSV antibody to opposite serotype
What is recurrent HSV?
Reactivation of HSV with complimentary antibody
What should a woman do that is HSV negative but has a partner that is positive?
Avoid sex in 3rd trimester
What should you do if a patient has prodromal sx. of HSV at time of delivery?
What is the clinical indication of primary syphilis?
Painless ulcer at site
What are the clinical manifestations of secondary syphilis?
What are the clinical manifestations of tertiary syphilis?
How is syphilis treated?
What should you do if a patient is pregnant and allergic to PCN with syphilis?
How are pregnant women with syphilis monitored?
What is the most frequently reported STI in the US?
*Mostly asymptomatic; screen those under 25
What are the sequelae of Chlamydia?
2) Ectopic pregnancy
What is the treatment for Chlamydia?
One time dose of azithromycin
How long should a patient abstain from sex if positive for Chlamydia?
What are children born to a mother with Chlamyida at risk for?
What is the treatment for gonorrhea?
1) Cefriaxone AND
What is a common cause of septic arthritis in a sexually active young adult?
What are the sequelae of neonatal gonorrhea?
How is PID diagnosed?
1) Pelvic lower abdominal pain with no alt. cause
2) CMT or uterine/adnexal tenderness
What is the definitive diagnosis for PID?
1) Endometrial biopsy
2) TVUS or MRI
What did the PEACH trial show for PID?
No difference in outcomes for inpatient for outpatient
Who requires inpatient care for PID?
1) Unable to exclude surgical diagnosis
4) Unable to tolerate PO meds
5) Tubo-ovarian abscess
If you manage a PID patient as an outpatient, what do you need to do?
See the patient back in 72 hours
What causes Granuloma inguinale or Donovanosis?
What type of lesion is seen in Donovanosis?
Painless without lymphadenopathy
How is Donovanosis diagnosed?
Dark-staining Donovan bodies
How is Donovanosis treated?
What serotypes of HPV cause condyloma?
6 and 11
What serotypes of HPV are associated with cervical dysplasia?
16, 18, 31, 33, and 35
When should you biopsy suspected HPV?
1) Uncertain diagnosis
2) Unresponsive to treatment
What is the concern of HPV in pregnancy?
Recurrent respiratory papillomatosis
What is the classic presentation of Trichomonas?
Diffuse, malodorus, yellow-green discharge with "strawberry" cervix
How is Trichomonas diagnosed?
How is Tichomonas treated?
How is Scabies treated?
What causes Molluscum contagiosum?
What organism most commonly causes cystitis?
(Proteus mirabilis is 2nd)