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Flashcards in sexual health Deck (18)
1

Cullen's Sign

indicative for ectopic pregnancy, ecchymosis around umbilicus

1

Primary concern with ectopic pregnancy

Tubule rupture leading to hemorrhage

2

Primary concern with ectopic pregnancy

Tubule rupture with hemorrhage

3

Extreme tenderness with cervical motion on bimanual exam in PID

Chandelier sign

4

Gonorrhea

A very common cause of infertility among women. Asymptomatic in women, copious penile discharge in men.

Can cause gonococcal arthritis - monoarticular septic infection.

Grow organisms on Thayer-Martin or Transgrow media.

All pts. should also be treated for Chlamydia

5

Syphilis

Moves through several stages:
Primary: within 7-10 days with local s/s
Secondary: 6-8 wks. Macular rash on bilateral palms and soles or arms/legs
Latent: May never come back or will as
Tertiary: Can affect any system

6

Screening for syphilis

VDRL, RPR, STS
These are non-treponemal antibody tests

7

Confirmatory test for syphilis

FTA-ABS

8

Chlamydia

Most common bacterial STI in US

9

Genital Warts

Most common STD overall, viral
Increases risk of cervical cancer in women (subtype 16 & 18)

10

AIDS diagnosis

Pt with HIV virus who meets CDC criteria

11

Methods of HIV transmission

Sexual
Parenteral
Vertical- mother to fetus

12

HIV lab studies

ELISA for screening
Western Blot for confirmation

-ELISA = -HIV
+ELISA & -WB = -HIV
+ELISA & +WB = +HIV
+ELISA & indeterminate WB = ?HIV (need more time to determine)

13

CD4 counts

Normal is 800-1100
<350 prophylaxis for infections with Bactrim is indicated

14

Viral load in HIV

Measures actual viral replication
Goal of therapy is undetectable viral load (<5000)

15

Management of HIV/AIDS

Antiretroviral treatment for any pt with:
AIDS defining illness, HIV-associated nephropathy, co-infection with HBV when treatment is warranted, or pregnancy

Any pt. with CD4 count <350 regardless of s/s

16

Triad for Pelvic Inflammatory disease

Lower abdominal pain
cervical wall motion tenderness
Adnexal tenderness (appendages or secondary structures of uterus)

17

Prophylactic therapy for a pt. with CD4 count of < 350

Bactrim DS 1 tab 3x/week