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Dermatology > STD > Flashcards

STD Flashcards

1
Q

Incubation period for gonococcal urethritis

A

1-14 days
MC- 2-5 days

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2
Q

Most common manifestation in gonococcal urethritis

A

Urethral discharge- initially mucous then purulent
Burning micturition
Female- minimal urethral meatus erythema, mucopurulent cervical discharge

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3
Q

Complications of gonococcal urethritis in male

A

Posterior urethritis
Cowperitis
Tysonitis
Prostatitis
Seminal vessiculitis
Proctitis
Periurethral abscess

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4
Q

End result of untreated gonococcal urethritis in male

A

Water can perineum and periurethral abscess

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5
Q

Clinical features of ophthalmia neonatarum

A

Starts within 21 days of life
Acute purulent ocular discharge
Intense redness and swelling of eyes

If untreated- penetrate the cornea - perforation and scarring, blindness

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6
Q

Manifestations of disseminated gonococcal infection

A

Acute arthritis
Dermatitis- macules, papules , petechiae , bullae or ecchymosis

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7
Q

Features of gonococcal arthritis

A

Polyarthritic- knee, ankle, small joints
Arthralgia, acute synovitis, acute arthritis

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8
Q

List out complication of gonococcal urethritis in -
Male
Female
Infant
Disseminated gonococcal infection

A

Male- posterior urethritis, epididymitis, tysonitis, cowperitis, seminal vesiculitis, prostatitis, Anorectal abscess, periurethral abscess, water can perineum

Female- PID, hydro or pro salphinx, Bartholin gland abscess

Infant- ophthalmia neonatarum

Disseminated GC- gonococcal arthritis-dermatitis syndrome,meningitis, endocarditis

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9
Q

Culture media used for gonococcal infections

A

Modified Thayer Martin medium
Chaka Mayer medium
New York City medium
GC lect medium
Martin Lewis medium
Amies medium- transport medium

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10
Q

Treatment for uncomplicated gonococcal urethritis,cervicitis, rectum

A

Inj.Ceftriaxone 500mg I’m single dose
Cephalosporins allergy- gentamicin 240mg Imsingle dose + azithromycin 2gm orally single dose
Ceftriaxone not available- cefixime 800mg single dose

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11
Q

Rx for uncomplicated gonococcal pharyngitis

A

Ceftriaxone 500mg in single dose

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12
Q

Rx for gonococcal urethritis in pregnancy

A

Ceftriaxone 500mg I’m stat

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13
Q

Rx for gonococcal conjunctivitis

A

Ceftriaxone 1gm I’m stat

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14
Q

Rx for uncomplicated gonococcal vulvovaginitis, cervicitis, urethritis, pharyngitis, proctitis, children <45kg

A

Ceftriaxone 25-50mg/kg body weight by iv or I’m single dose- should not exceed 250 mg

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15
Q

Rx for ophthalmia neonatarum

A

Ceftriaxone 25-50 mg /kg I’ve or I’m single dose
Not exceeding 250mg

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16
Q

Rx for disseminated gonococcal infection

A

Ceftriaxone 1gm Im or iv for every 24 hours- till symptomatically better

17
Q

Rx for gonococcal meningitis and endocarditis

A

Ceftriaxone 1-2gm I’ve every 12 hours for 10-14 days- meningitis
28 days for endocarditis

Dermatology (4 decks)

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