Flashcards in UTI's and STD's Deck (23)
Physical exam findings consistent with urinary tract infections
flank pain/CVA tenderness or abdominal tenderness in suprapubic area
Highly specific UA result for a UTI
presence of nitrites
Why should you consider imaging when working up patient with polycystic kidneys?
prone to abscess formation
What urinary tract complication are patients with tuberculosis prone to developing?
Inpatient abx classes for UTI
3rd gen cephalosporin or fluoroquinolones
Risk factors for urethritis
high risk sexual behavior and multiple partners
What testing should be done if patient has genital ulcers?
cultures for HSV and syphilis
How do you diagnose genital herpes besides physical exam?
viral culture by swab for one minute
Antiviral prescriptions for intitial outbreaks
Acyclovir (Zovirax) 400mg tid, Famciclovir (Famvir) 250mg po tid, or Valacyclovir (Valtrex) 1gm po bid all for 7-10 days
How do prescriptions for antivirals change for recurrent outbreaks?
only need to take for 5 days and doses decreased by half
How many herpes outbreaks are needed for consideration of suppression therapy?
6 in one yr
Topical treatments for HPV
Imiquimod (Aldara) or Conylox
Type of syphilis where pt develops one or more sores resembling large bug bites usually 10-90 days post exposure
Presentation of secondary syphilis 1-3 months post-exposure
Rosy copper penny rash on hands and feet
Treatment for early primary, secondary, or latent <1yr syphilis
Benzathine Penicillin G 2.4 million U, IM single dose
Treatment for syphilis if PCN allergy
doxy or tetracycline for 14 days
Tropical disease that rarely occurs in US. Presentation is painless genital nodule
Granuloma Inguinale (Donovanosis)
Chlamydial dz that invades lymphatics. Presents with unilateral inguinal lymphadenopathy or painless red erosion on the genitals or rectum
Treatment for Lymphogranuloma Venereum
Doxycycline 100 mg bid for 21 days
Caused by gram-negative, anaerobic bacillus Haemophilus ducreyi. Begins as a small inflammatory papule that erodes to form an extremely painful deep ulceration plus inguinal adenopathy
Recommended abx for chancroid
Azithromycin 1 g PO or
Ceftriaxone 250 mg intramuscularly (IM)
Recommended abx for uncomplicated gonococcal infections
Ceftriaxone 250mg IM single dose or Cefixime 400 mg single oral dose