STD pg2 to Mental health pg3 Flashcards Preview

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Flashcards in STD pg2 to Mental health pg3 Deck (43)
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1

Chancre DDx

Clamydia -Painful (Soft) "weepy"
Chancroid - Painful (Soft) "Bloody"
Syphilis - Painless (Hard)

2

Chlamydia DDx

Chlamydia
Lymphogranuloma Venereum
PID
Reiter's disease (feet)

3

Asymptomatic Female DDx

Chlamydia
Gonorrhea (knee)
Human Papilloma virus (HPV)

4

Asymptomatic Male DDx

Trichomonas
Canidia albicans

5

Discharge DDx
Gonorrhea -
Trichomonas -
Chronic vaginitis -
Candidiasis -
Herpes -
Chlamydia -

Gonorrhea - Copius & clear
Trichomonas - Frothy, foul & itchy
Chronic vaginitis - Foul & itchy
Candidiasis - Curdy & itchy
Herpes - Watery
Chlamydia - Yellow

6

Chlamydia

MC SDT in US. Yellow, odorless copius discharge leads to nongonococcal and nonspecific genitourinary infection (NGU), painful soft lesions, Reiter's (feet). Asymptomatic in females

7

Gonnorrhea

Neisseria gonorrhea, tonsillitis, pharyntgitis -> arthritis(knee), *gram negative* *Coipious* clear discharge from the urethra (Skene's& Bartholin's glands) Male (urethritis &epididimitis) Female (vaginitis, salpinitis, arthritis)

8

Herpes

painful vessicles, latency, tissue culture, red lesions with yellow oozing center, watery discharge, contagious. Type 1 & 2 recurrent, prodome of itching. Treatment: Valtrex, L-lysine, acyclovir

9

Trichomonas

Trichomonas Vaginalis (*Protozoa*) Females - greenish yellow, severly itchy, *foul* discharge. Males - Asymptomatic

10

Chancroid

Haemophilus Ducrey (aka soft chancre). Lesions rapidly ulcerate and *beed*. large, painful ulcers, pus ->buboes (bloody)

11

Candidiasis

Candida Albicans, thrush, yeast, fungus, moniliasis. *Gram Positive*, red, itchy & irritable. Female - *White cheese* material covers vaginal walls. Males - usually asymptomatic , Treatment: Acedophilus and Lactobacillus

12

Syphilis

Treponema Pallidum (Spirochete) There are 3 stages, can be congenitaly contracted

13

Syphilis stage 1

Primary (4-8 wks) *Painless* lesion, hard, indurated, singular

14

Syphilis stage 2

Secondary (appears at 12 weeks) Rash (80%), persists for months. Lymphadenopathy (50%). *Condylomata lata* (warts). Alopecia (hair loss)

15

Syphilis stage 3

Tertiary (about 1/3 develop if untreated). Gumma (skin, viscera granulomatous lesion). General Paresis (Dementia), Argyll Robertson pupil. *Tabes dorsalis*, Romberg's test, Charcot's joints. FTA -ABS, VDRL, RPR, Wassermann, Darkfield Microscopy

16

Congenital Syphilis

Hutchinson's triad: saddle nose, interstitial keratosis, peg teeth

17

Lymphogranuloma Venereum

(caused by Chlamydia) Enlarged regional inguinal lymph nodes that may lead to elephantitis and rectal abscesses

18

Granuloma Inguinale

Donovania Granulomatous (Donovans hamburger) painless, velvety, slow going. *Bright Beefy* red granulomatus lesions. Diagnosis: Giemsa/Wright stain to demonstrate Donovan bodies

19

*Genital Warts*

Human Papiloma Virus (16&18). *Condlomata Acuminata* cervical dysplasia leads to cervical cancer. Usually small, itchy, cluster(cauliflower), speculum (screen), PAP (confirm - specific test)

20

Molluscum contagiosum

Multiple skin tags the exfoliate, waxy papules

21

Pemphigoid

*Autoimmune* - MC type, bulla lesion, *lethal* middle aged, south americans, IgG (many types)

22

Dermatitis Herpetiformis

(aka ichthyosis bullous siemens) Genital and extensor lesions, *bulla*, vesicles, papules, IgA (tip). Itchy, peeling, blistering, bluten sensitive, *hereditary* (blacks, Asians)

23

Voluntary Motor

Posterior edge *frontal* lobe & cerebellum

24

Personality, problem solving

*frontal* lobe

25

Somatosensory (temperature, pressure, position)

anterior edge of *parietal* lobes

26

Vision (color & shape)

*Occipital* lobe

27

Auditory & Smell

Superior *temporal* lobe

28

Speech (motor)

Broca's area in *frontal* lobe (left hemisphere)

29

Speech (sensory, planning & understanding)

Wernick's area at junction of *parietal*, temporal, & occipital lobes

30

Biological drives (thirst, hunger)

Hypothalmus