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IOS 10 exam 4


1. Genital Herpes Simplex Virus HSV-2- a. Prodrome tingle, burn (1-2days), b. Local tenderness, purulent malodorous secretions, lymphadenopathy. Symptoms last 3-4 weeks, c. Local-Erosions, macerations, erythema. , d. Lesion progression-papules, vesicles, ulcer, heal. Systemic- HA, myalgias, fe
Syphilis-s/s Primary- genital ulcer b. Secondary-Skin Lesions occur 3-6weeks ,Tertiary- Cardiac ,d. Latent disease- Asymptomatic ,Early Latent Syphillis, Late latent syphilis
Chlamydia-s/s Women-asymptomatic or discharge. Men- Majority asymptomatic, mucoid or clear urethral discharge
Gonorrhea-(More women) s/s Incubation (1-14 days) symptoms 10 days-endocanal, abnormal discharge or bleeding
Bacterial Vaginosis s/s Malordorus, fishy smell and vaginal discharge.
Trichomoniasis-women s/s Malodorus, yellow green discharge with vulvar irritation. Pear shaped flagellating organism;no clue cells.
Human Papilloma Virus s/s Low risk -11-6 (genital warts and mild pap test abnormal) and highrisk 16-18. Both are usually asymptomatic. Present several weeks or months after exposure.
1. Genital Herpes Simplex Virus methods of diagnosis Visual inspection, Viral culture
Syphilis –methods of diagnosis Nontreonernal test (VDRL and RPR) and Treponemal test (FTA-ABS and TP-PA)
Chlamydia methods of diagnosis Nucleic Acid Amplification Test (NAATs)- Urethral swabs from men, cervical/vaginal swabs from women, and urine from both.
Gonorrhea-methods of diagnosis must report to statea. Men:Gram stain of male urethral specimen- Gram(-) diplococci or urine b. Women: Urine
1. Bacterial Vaginosis (BV)- methods of diagnosis > 3 of the following: thin white discharge that coats vaginal wall, clue cells on miscopic exam, vaginal pH > 4.5, fishy odorbefore KOH (whiff test), gram stain
Trichomoniasis-methods of diagnosis Culture is the most sensitive commercially-pear shaped flagellating organism, no clue cells.
1. Human Papilloma Virus- methods of diagnosis Identified by appearance, biopsy, Colposcopy (after pap smear)
1. Genital Herpes Simplex Virus-Treatment a. Primary- Valacyclovir 1 g PO BID, Acyclovir 400 mg PO TID (7-10days) . (recurrent 5 days, >6 recurrent annual)
Syphilis – Treatment a. Primary, secondary, or early latent-Benzathine PCN G 2.4MU IM x1 or Doxycyline 100mg BID x 14 or Tetracycline 500mg QID x 14
Chlamydia--Treatment a. Primary- Azithromycin 1 g PO x 1 rescreen in 3 months if <25
Gonorrhea--Treatment a. DOC: Ceftriaxone 125mg IM x 1 or fluoroquinolone
Bacterial Vaginosis (BV)-Treatment a. DOC- Metronidazole 500mg PO BID x 7 days- Caution ETOH, Clindamycin cream- (oil base can weaken condom)
Trichomoniasis- -Treatment a. DOC-Metronidazole 2 g PO x 1
STDs that require partner therapy Syphillus, chlamydia, gonarrhea, trich,
Created by: liza001



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