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issues and policy > STD > Flashcards

STD Flashcards

1
Q

Gonorrhea

A

green vaginal discharge

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2
Q

gonorrhea definition

A

a bacterial STD caused by nisseria goorrhoea (gram negative diplococci

asymptomatic
dysuria

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3
Q

gonorrhea discharge men

A

white or yellow not green

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4
Q

gonorrhea labs

A

gram stain shows gram negative diplococci and wbc

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5
Q

gonorrhea female labs

A

thayer martin media cervical culture for N gonorrhoea

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6
Q

gonorrhoea treatment

A

ceftriaxone - (rocephin) 250mg IM x one dose to treat gonorrhea

plus
zithromax, 1 g orally x one dose to cover chlamydia
report to the health department

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7
Q

Syphilis definition

A

STD involving multiple organ systems and caused by treponema pallidum - a spirochete

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8
Q

syphilis pearls

A

third most reported infectious disease in the US

over 200k new cases annually

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9
Q

clinical stages of syphilis Primary

A

CHANCRE IS PAINLESS
indurated ulcer
located at site of exposure

tx is 2.4 million units IMx1

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10
Q

clinical stages of syphilis secondary

A 
FLU LIKE SX 
highly variable rash on skin
palmar and plantar rash
mucous patches 
alopecia, anorexia malaise, arthalgias and lymphadenopathy

tx is 2.4 million units pcn G IM weekly x 3 weeks

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11
Q

syphilis latent

A

seropositive but asymptomatic

tx is 2.4 million units pcn G IM weekly x 3 weeks

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12
Q

reportin diseasees

A

gonorrhea
claymmadia
syphilis

TB
HIV

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13
Q

Tertiary syphilis

A 
lekoplakia 
cardiac insufficiency 
aortic annurysim 
meningitis 
hemiparesis
hemiplegia
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14
Q

lesions that hurt =

A

herpies

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15
Q

Serologic tests for syphilis

A

Nontreponemal VDRL/RPR may be positive or neagitve for primary

Treponemal- used to confirm
MHA-TP or FTA-ABS

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16
Q

Siphilis treatment allergy to PCN G

A

PCN G2.4 million units IM
(doxy 100mg orally bid
reythromycin 500mg orally 4times daily

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17
Q

Chlamydia

A

parasitic STD caused by chlamydia trachomatis with produces serious reproductive tract issues in both sexes

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18
Q

most common bacterial STD in US

A

Chlymidia 4millin new infections annually

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19
Q

Chlamydia S and S

A 
female
often asymptomatic 
dysuria 
PAINFUL INTERCOURSE 
vaginal discharge

men
often asymptomatic -dysuria
THICK CLOUDY PENILE DISCHARGE
testicular pain

20
Q

Labs for chlymidia

A

chlamydia culture- most definitive test (3-9 days for results)

Enzyme immunoasssay EIA methods preferred low cost and get results back in like 2 hours

21
Q

drugs for chlymidia

A

azithromycin (zithromax) 1g po x1dose OR
doxy (vibramycin 100mg by mouth x7days
report to health department

22
Q

cross cover drugs for chlymidia and gonnerhea

A

zithromax 1g po dose shot of ceftriaxone

23
Q

Vulvovaginitis inflamation

A

inflamation or infection of vulva and vagina most commonly caused by bacteria, protozoan and or fungi

24
Q

Vulvovaginitis - trichomoniasis

A

bacterial vaginosis, and candidiasisi and are commonly responsible for Volvovaginitis, Only trichomonas (often asymptomatic in men) is considered an STD

25
Q

vulvovaginitis SX thrichomonas

A

malodourous, frothy YELLOWISH GREEN DISCHARGE, puritis, vaginal eryhtema, STRABERRY PATCHES, on cervix, and vagina, dysparuenia (pain on sex) dysuria

26
Q

vulvovaginitis thrichomonas labs and tx

A

ns mixture shows motile trichomonads

flagyl 2g by mouth single dose then 500mg by outh bid for 7 days

27
Q

vulvovaginitis bacterial vaginosis sx

A

FISHY smelling discharge that is watery and grey, vaginal spotting

28
Q

vulvovaginitis bacterial vaginosis labs and tx

A

ns mixture shows CLUE cells

flagyl- 2g by mouth single dose, 500mg by mouth bid x7days, 0.75% gel 5g, intravaginally bid for 5 days

clindamycin (cleocin) vaginal cream 2%, 5g intravaginally at bedtime x 7 days , 300mg by by mouth bid for 7 days

29
Q

vulvovaginitis candidiasis sx

A

THICK WHITE CURD LIKE DISCHARGE, VULVOVAGINAL ERYTHEMIA WITH PURITIS

30
Q

vulvovaginitis candidiasis treatment and labs

A

miconazole (mono-stat) or clotrimazle, (gyne-lotrimin 1% 5g intravaginally at bedtime for 7 days
terconazole suppository
butaconazole

azole things

31
Q

chancroid definition

A

hemophilus ducreyi- a gram negative bacillus

32
Q

chancroid pearls

A

endemic in many areas in the US, must be a part of the differential dx for genital ulcers

well established co factor for HIV transmission (high rate of HIV for individuals presenting with chancroid

estimated up to 10% of patients are also infected with syphilis and HSV

33
Q

chancroid s and s

A

women -asymptomatic
men- single or multiple superficial, PAINFUL ulcers, surrounded by erythematous halo
ulcers may be necrotic or severely erosive

34
Q

chancroid diagnosis

A

diagnosis is usually by exclusion
involves genitals and unilateral bubo or both
painful genital ulcers in the absence of T pallidum and HSV (by inspection or culture)

35
Q

sensitivity

A

degree to which those who have disease test positive

36
Q

specificity

A

degree to which those who DO NOT have the disease test negative

37
Q

chancre treatment

A

Zithromax 1gpo or
rocephin 250mg IM or
cipro 500mg po for tthree days

38
Q

herpes definition

A

a recurrent viral STD with no cure associated with painful genital lesions

39
Q

herpes type 1

A

infection of face lips and oral mucosa

40
Q

herpes type 2

A

genitals type two is down near where u poo

41
Q

herpes transmission

A

direct contact with active lelsions or by virus containing fluid saliv or cervical secretions

42
Q

herpes sx initial vs recurrent

A

fever, malaise, dysuria, prutic ulcers for usually 12 days

Recurrent: less painfull pruritic ulcers for up to 5 days

43
Q

herpes labs and diagnostics

A

papanicolaou or tzanc stain

most definitive test is viral culture

44
Q

herpes management

A

no cure
symptomatic treatment with drying or anti itch
acyclovir Zovirax recommended for topical oral and IV use
famciclovir
valciclovir-

45
Q

herpes drug most useful for asymptomatic viral shedding of hsv2

A

valacyclovir

issues and policy (22 decks)

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