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Flashcards in STD Deck (24):
1

Green vaginal discharge

Gonorrhea

2

Gonorrhea

Asymptomatic
Dysuria
W - Mucopurulent vaginal discharge - green/fluourescent

3

Gonorrhea - labs

Gram stain -

4

Gonorrhea - treatment

Ceftriaxone IM

5

Reporting to the health department (3)

Gonorrhea
Chlamydia
Syphilis

6

Syphilis - treponema pallidum

3rd most commonly reported infectious disease

7

Syphilis - s/s
Primary

Chancre is painless
Indurated ulcer
Located at the site of exposure

8

Syphilis - labs

VDRL/RPR
Treponemal

9

Syphilis - managmenet

PCN G

If PCN allergy - doxycycline or erythromycin

10

Chlamydia - trachomatis

Parasitic STD

11

Chlamydia - s/s

dysparenuia - painful intercourse
thick, cloudy penile discharge
testicular pain

12

Chlamydia - labs

Culture is definitive (3-9 days)
EIA -

13

Chlamydia - treatment

azithromycin
doxycycline
alternatives

14

Dysparenuia

painful intercourse
-- chlamydia
-- PID
-- Tric
-- menopause

15

Co-treat Chlamydia and Gonorrhea

Azithromycin 1000mg PO +
Ceftriaxone IM 250mg IM

16

Herpes

"hurts"
recurrent VIRAL

17

HSV 1
HSV 2

face
genitalia

18

Herpes - management

-vir
acyclovir
valacyclovir
famciclovir

19

Vulvovaginitis
- trichomonas

Malodorous, frothy yellowish-green discharge
pruritus
vaginal erythema
strawberry patches

wet-prep: motile trichomonads

Metronidazole 2g once

20

Vulvovaginitis
- BV

"fishy"
watery gray discharge
vaginal spotting

wet-prep: CLUE cells

metronidazole 2g once
clindamycin cream

21

Vulvovaginitis
- Candidiasis

Thick, white, curd-like discharge
Erythema with pruritus

KOH - pseudo hyphae

Miconazole intravaginally
terconazole x 3 days
butaconazole - 3 applications

22

Chancroid - Hemophilus ducreyi

Gram-negative bacillus

painful ulcer - surrounded by erythematous halo
lymphadenopathy

23

Chancroid - Hemophilus ducreyi

definitive morphologically

24

Chancroid - Hemophilus ducreyi

Azithromycin 1g PO OR
Ceftriaxone 250mg IM OR
Cirpo 500 mg BID x 3 days