L56 Flashcards
(26 cards)
What are the 6 uncomplicated genital infections caused by chlamydia and/or gonorrhea?
- Urethritis / acute urethral syndrome
- Cervicitis
- Bartholinits
- Conjunctivitis
- Pharyngitis
- Proctitis
What is Bartholinitis?
Acute/rapid onset labial swelling
Unilateral
What is the clinical presentation for STI caused pharyngitis?
Asymptomatic
What is proctitis? Which bugs cause this?
Rectum inflam
Gonorrhea & chlamydia L1-3 strains (!!)
What are the complicated genital infections caused by chlamydia and/or gonorrhea?
- Epidydimitis
- PID
- Reiter’s syndrome
- Disseminated gonococcal infection
What are the clinical symptoms of epidydimis?
Unilateral scrotal pain/swelling
What is the clinical presentation of PID?
Asymptomatic
Lower ab pain
Cervical motion tenderness on bimanual pelvic exam
Adnexal tenderness
2 acute complications of PID
Perihepatitis
Pelvic peritonitis
3 late complications of PID
Chronic pain
Ectopic preg
Infertility
Which bug causes Reiter’s syndrome?
Chlamydia
What are symptoms of disseminated gonococcal infection?
Due to untreated gonococcal infection
Arthritis + skin lesions
Diagnose urethritis & conjunctivitis
Gram stain
Treat uncomplicated G&C infections
Ceftriaxone + azithro OR doxy
SHORTER duration
Treat complicated G&C infections
LONGER duration
Treat DGI
IV ceftriaxone
Treat epidydimitis & PID
Ceftriaxone + doxy
Possible complication from untreated urethritis
Epididymitis
Which bug should you be thinking of for painless sore on genitals that is healing, flat lesions elsewhere on the body (including palms+soles) , and “fullness in the groin”
T.pallidum = syphilis
What is chancroid? What bug causes it?
H.ducreyi = GN cocco-bacillus
Painful lesions
- Multiple ulcers at different stages of maturation
Painful, swollen LNs - may rupture through skin if remains untreated
What is the bug for LGV?
Chlamydia trachomatis L1-3
Describe LGV presentation
Swollen pelvic LNs - draining through skin
By time come to clinic, initial genital sores probably gone
What is a complication of LGV that may present with it?
Proctitis
Genital fistulas
Treat early syphilis
Penicillin single dose
OR
Doxy 14 days
Treat late syphilis
Same drugs - penicillin or doxy
LONGER duration, need to clear spirochetes out of blood!
