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Flashcards in STI's Deck (21):
1

male structures that may become inflamed in Gonococcal Inf's

epidiymis, prostate, anus

2

pelvic exam finding consistent with gonococcal inf

purulent cervical d/c

3

what is a common cheif compaint of gonococcal male pt's

burning urination (d/c if later in dz)

4

when is gonorrhea symptomatic in women

during menses (dysuria)

5

how to treat gonorrhea and chancroid (H ducriyae)

Ceftriaxone( + doxycycline/azithromycin for Gonorrhea to treat Chlamydia!!)

6

In what condition would PA reveal bubos of necrotic swollen lymph nodes

chlamydia Lymphogranuloma Venereum

7

first sign of Lymphogranuloma Venereum

fleeting (evanescent) vesicle or ulcerative lesion

8

describe the bubos of Lymphogranuloma Venereum (3)

fused/sinusoidal, symmetrical, 1-4 weeks after exposure

9

describe anorectal manifestation of Lymphogranuloma Venereum (LGV)

proctitis, tenesmus, bloody/purulent d/c

10

How to test for Lymphogranuloma Venereum

complement fixation assay (my cross-react with other strains of Chlamydia)

11

causative org of Chlamydia/LGV

Chlamydia trachomatis L1-L3 strains

12

what is in the Ddx for chlamydia

syphilis, genital herpes, chancroid

13

DOC for LGV

doxycyline (100 mg BID 21 days)

14

2nd line DOC's for LGV (2)

erythromycin, azithromycin

15

causative org of Chlamydia cervicitis/ uretritis

Chlamydia tracomatis types D-K

16

leading cause of infertility in females

Chlamydia

17

how does chlamydial uretra d/c compare with that of gonorrhea

more watery less painful

18

How is Chlamydia urethritis/cervicitis confirmed

swab, then nucleic acid amplification test

19

What to give to a pregnant woman with Chlamydia cervicitis (and anyone else)

azirthromycin (AKA Zithromax single 1g dose)

20

2nd choice DOC's for Chlamydia uretritis/cervicitis

doxycycline (Vibramycin) or levofloxacin (Levaquin)

21

What type of org is Neisseria gonorrheae

GN diplococci