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Flashcards in STDs Deck (24):
1

Chlamydia Sx in Men

Often Asymptomatic
-Urethral d/c
-Dysuria, testicular pain or swelling
-Inguinal adenopathy

2

Chlamydia Tx

Azythromycin: 1g PO x1
or
Doxycycline: 100 mg PO bid x 7 days
Report to Health Department

3

Chancroid Sx in Women

Usually asymptomatic

4

Chancroid Sx in Men

Often asymptomatic
-Single (though may be multiple) superficial, painful ulcer surrounded by an erythematous halo.

5

Chancroid Tx

Azithromycin: 1g PO x 1
or
Ceftriaxone: 250 mg IM x 1
or
Ciprofloxacin 500 mg PO bid x 3 days

6

Condyloma Acuminata (Genital Warts) Sx

Single or multiple soft, fleshing, papillary or sessile, painless keratinized growths around the anus, vulvovaginal area, penis or perineum, or no symptoms

7

Condyloma Acuminata Tx

Keratolyic agents: Podophyllin, trichloroacetic acid, or bichloroacetic acid
Refer for cryotherapy, laser therapy, electrocautery, or excision

8

Gonorrhea Sx in Women

Abnormal vaginal d/c
Abnormal menses
Dysuria
Pelvic pain

9

Gonorrhea Sx Men

Dysuria
Inc. frequency
Purulent penile d/c
testicular pain
OR
No Sx

10

Gonorrhea Tx

Ceftriaxone: 250 mg IM x 1
plus
Azithromycin: 1g PO x1 to cover chlamydia
Report to Health Department

11

Herpes Genitalis

Single or multiple vesicles usually pruritic and rupture spontaneously to form shallow ulcers that may be very painful.
Fever, chills, malaise, headache, dysuria, and dyspareunia

12

Herpes Genitalis Tx

No cure
Symptomatic Tx with drying and antipruritic agents
Acyclovir recommended for topical, oral and IV use

13

Lymphogranuloma Venereum Sx

2-3mm painless vesicle, bubo or non-indurated ulcer followed by regional lymphadenopathy.

14

Lymphogranuloma Venereum Tx

Doxycycline

15

Chlamydia Sx in Women

Dysuria, mucopurulent vaginal discharge
Lower abd pain
Dyspareunia
Inguinal lymphadenopathy

16

Molluscum Contagiosum

1-5 mm lesions which are smooth, rounded, firm, fleshy-colored, or pearly-white papules

17

Molluscum Contagiosum Tx

Cryoanesthesia with liquid nitrogen

18

Primary Syphilis Sx

Painless Chancre, indurated ulcer

19

Secondary Syphilis Sx

Highly variable rash on the palmar and plantar surfaces; mucous patches

20

Latent Syphilis Sx

Seropositive, but asymptomatic

21

Tertiary Syphilis Sx

Multisystem involvement

22

Tx for Primary, secondary, or early syphilis of less than 1 year duration

Benzathine Penicillin G 2.4 million units IM.

23

Tx for Late, latent and indeterminate length; tertiary stage

Benzathine Penicillin G 2.4 million units IM weekly x 3 weeks

24

Penicillin allergic Tx for syphillis

Doxycycline: 100mg PO bid
or
Erythromycin 500mg PO qid