Repro Tract Infections Flashcards Preview

Week 15: Infertility > Repro Tract Infections > Flashcards

Flashcards in Repro Tract Infections Deck (18)
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1
Q

Best way to test for Trichomonas

A

NAAT (nucleic acid amplification test)

2
Q

Treatment for Trichomonas

A

Metronidazole

3
Q

Chlamydia trachomatis morphology

A

Non-motile, gram negative intracellular pathogen

4
Q

3 ways to transmit Chlamydia

A

Sexual
Vertical
Fomite

5
Q

Risk of ___ in neonates from Chlamydia infection

A

Conjunctivitis in neonates that can lead to blindness

6
Q

PID from Chlamydia can lead to what 3 things

A

Ectopic pregnancy
Infertility
Chronic pelvic pain

7
Q

Best test for Chlamydia

A

Nucleic Acid Amplification

8
Q

2 antibiotics that can be used for Chlamydia

A

Doxycycline
Azithromycin
(Erythromycin is second line)

9
Q

Follow up after treatment for Chlamydia

A

Abstain from unprotected sex until multipledose therapy is complete or 7 days after single dose
Test of cure at 6 months (early if pregnant)
Screen for other STIs
Counsel safe sex practices

10
Q

Neisseria gonorrhea morphology and what cell types do they like to effect

A

Gram negative diplococcus

Likes columnar, cuboidal and non-keratinized squamous epithelium (the urogenital tract!)

11
Q

2 ways to test for gonorrhea

A

NAAT

Culture (good to test for antimicrobial sensitivities)

12
Q

Treatment for gonorrhea

A

Ceftriaxone

Azithromycin can be used as second line, but there is resistance

13
Q

PID

A

Infection/inflammation of the endometrium, fallopian tubes, pelvic peritoneum, surrounding structures
Cervix is usually a pretty good barrier to upper genital infections

14
Q

6 complications from PID

A
Tubo-ovarian abscess
Sepsis
Infertility
Ectopic pregnancy
Chronic pelvic pain
Increased risk of recurrent PID
15
Q

Fitz-Hugh-Curtis Syndrome

A

Inflammation of the liver capsule
Characterized by RUQ pain, nausea, vomiting, and fever
Generally accompanied by evidence of PID of physical exam
An upper tract infection that has gone into the abdomen

16
Q

Signs of PID

A
Cervical motion tenderness
Adnexal tenderness on bimanual exam
Adnexal mass
Cervicitis
Fever
Vomiting
17
Q

PID Treatment

A

Cefixime or Ceftriaxone plus azithromycin or doxycycline

18
Q

4 General ways to diagnose pathogens

A

Antigen based testing
Antibody (from host against infection)
Culture
DNA (NAAT)