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STD study
STD study for patholoy
| Question | Answer |
|---|---|
| GENITAL HERPES SYMPTOMS | BURING AT SITE, PAINFUL VESICLES, FEVER, MUSCLE ACHE (MOST ARE ASYMPTOMATIC) |
| GENITAL Herpes IS WHAT TYPE OF VIRUS | NEUTOTROPICS - GETS INTO NEURONS |
| Incubation Period of herpes | 2-10 days |
| GENITAL WARTS symptoms | benign multiple growths, genital or anorectal |
| Treatment of warts | remove warts (topical (antimitotic agents) sx, cryotherapy |
| monitor for what type of CA in warts | types 16/18 |
| spyhliis (treponema pallidum) spread via: | contact with lesions and via placenta |
| how does it spread? syphyillis | microbe enters and distributes systemically via circulation and lymph |
| 1st stage symptoms syphyillis | local, painless chancre (non bleed), exposure sites labia, penis, groin. Heals in 3-12wks, regional adenopathy (swollen) |
| 2nd stage symptoms of syphyillis | 6-8 wks post infection, lasts up to 6mos, maculopapular rash on hands and soles, generalized lymphadenopathy, mucous membrane pathes, flat pupules, fever, malaise |
| what is the latent period in syphillis? | in between 1st and 2nd stages, no obv. clnical signs |
| 3rd stage symptoms of syphillis | 1-35 yr after 1st infection if untx, irreversible damage to bone, joints, cvs, ns |
| treatment for syphillis | penicillin |
| Chalmydia symptoms | bacterial, 2-10 days incubation, asymto. in most case. Female: mucopurulent discharge, dysuria (inflammation of urethra), bleeding and pelvic pain (ascend. inflamm) Male: mild dysuria, white clear discharge, testes pain (scrotal inflamm. of epidymis) |
| Treatment for chlamydia | doxycycline or azithromycin |
| Gonorrhea (Neiserria gonorrhoea) Gram - cocci Symptoms (local) | Female - purulent discharge, late pelvic pain, dsyuria, genital irritation, pharyngeal infect (oral trans), conjuntivitis Male: urethral discharge, dysuria, pharyngeal infection, conjunctivitis |
| Systemic Symptoms of gonnorrhea | bacteremia, arthritis-dermititis syndrome (joints affected by infn. septic arthritis) |
| AIDS targets what cell in the immune system? | t helper |
| aids etiology and transmission | unsafe sex, contaminated blood, maternal (utero, labor, lactation) occupational health workers |
| what 3 factors increases the risk of aids with a needlestick injury? | depth, site, viral load |
| Patho of Aids - 3 phases what is the first phase? | infection, window period and seroconversion (time it takes body to produce Ab against microbe) and window period (3mos), high viral load and decreased CD4 count (receptors for T cells) |
| second phase of aids is | latent period - asymptomatic, destruction of lymphatic tissue, recurrent resp. infxn, fatigue |
| third phase of aids is | overt AIDS - 10 yrs from hiv to aids, targets T helpers cells, macros, B cells, destroys immune system |
| diagnosis of aids | lab tests and clinical progression, ELISA, western blot assay, PCR, CD4 counts and viral loads |
| what is ELISA test for AIDS? | emzyme test measures AB against virus |
| what is western blot assay in aids? | measures Ab against Ag( most specific) |
| Mnfts of Aids | opportunistic infections, resp (TB and pneumonia)GI(many) NS (dementia, encephalopathy) and CA d/t low immune, Karposi's sarcoma, non-hodgins lymphoma, cervical |
| tx of aids | anti-virals (antiretrovirals) work backwords making DNA from RNA |