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11 Cards in this Set
- Front
- Back
Bacterial sti |
Gram negative bacteria. Chlamydia, gonorrhea, syphilis |
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Viral sti |
Genital herpes: hsv1&2 Genital warts: hpv HIV, AIDS, hep b/c, molluscum |
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Gonorrhea |
2nd most common. 1-3 week. Urethra/cervix. Rectum/oropharynx. May be asymptomatic - especially women. Vaginal discharge, dysuria, polyuria, bleeding after sex, redness/swelling of cervix, purulent exudate. Pid and bartholin gland inf. Dysuria, purulent urethral discharge, epidymitis, Sore throat, Mucopurulent rectal discharge, bleeding, pain, pruritis, painful bm. NAAT, culture, gram stain. Opthalmia neonatorum IM ceftriaxone + oral azithromycin due to resistance. |
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Syphilis |
The great pretender. Direct contact with chancres. 10-90 (21) day incub 4 stages: primary (chancres, 3-6 wk, infectious), secondary systemic (infectious, flulike, rash), latent (no s/s), late tertiary (most complications, 1-20 years, gummas, cardio, neuro, muscular). Gummas, cv, Neuro Diagnosed with vdrl, rpr, confirmed with fta-abs, tp-pa Penicillin G benzathine. Follow up every 6 mo for 2 years |
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Warts |
Hpv6&11. Skin to skin. Not usually reportable. Weeks - years incub. Confirmed with biopsy. Cleared after 1-2 years. Gardasil, cervarix, gardasil 9 TCA, BCA, podophyllin resin. Cryotherapy, electrocautery, laser therapy. |
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Herpes |
Hsv1&2 severity decrease over time. Becomes dormant in nerves. Easily transmissible when lesions are present. May have asymptomatic shedding. Primary incubation of 2 day - 2wk 4 stages: prodromal (burning, tingling, itching), vesicular (blister), ulcerative (ruptured blister), final (crusting of ulcer). ~3 weeks. May pass to infant eyes skin mouth cns. Visual exam, cultures, blood. Acyclovir, valaciclovir, fanciclovir. Lidocaine, ice, apap |
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Chlamydia |
Most common. 1-3 week incubation. Treatment does not confer immunity. Urethritis, epididymitis, cervicitis. May be asymptomatic, mucopurulent dc, bleeding, dysuria, dyspareunia. NAAT: cervical, vaginal, urethral swabs. Or urine testing. High rate of recurrence, retest 3 months after tx. EPT recommended Doxy/azith x7 days |
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Trichomoniasis |
Protozoa. More common in women, especially with hiv. 1 week - 1 mo+ incub. Urethra/cervix. Rarely anus, unknown throat. Asymptomatic, urethral dc, painful urine/ejac. Vaginal itch, painful urination, dyspareunia, bleeding free sex, yellow green dc with foul odour, strawberry cervix. NAAT - vagina, cervix, urine. Culture, direct visualization of trich. Metronidazole, tinidazole. Repeat test in 3 mo |
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Nurses required to report |
Gonorrhea, syphilis, usually chlamydia |
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Disseminated gonoccal infection |
DGI. Rare. Skin lesions, fever, arthalgia, arthritis, endocarditis. |
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Chondylomata lata |
Moist weeping papules in anogenital area. |