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STDs
13-2
Question | Answer |
---|---|
green discharge | Tricomonas |
fishy odor (+ Whiff test) | Gardenella (bact vaginosis) |
raised pH in vagnal infxn (>4.5) | all but candida (normal vag pH) |
Rx of Gardnella, Trichomonas, Candida | Metro, Metro (+partner), |
Rx of Toxic Shock syndrome | clindamycin/oxacillin...vanc for MRSA |
Woman comes in with PID Sx (lower abd pain, cervial motion tenderness). Next step? | Rx for NG/CT + metronidazole (not needed if inpatient) immediately, even before labs (high risk of infertility) |
condylomata lata are? | lesions of secondary syphillis (occur in genital region, along with M-P rash elsewhere) |
Rx for syphillis? | Penicillin (doxycycline/TTC if allergic...although if pregnant you make them take Pen) |
screening for syphillis? confrimation? | screen: VDRL RPR, confirmation: FTA-ABS (+ forever) |
which HPV causes cervical CA. Which cause genital warts | 6, 11. warts: 16,18 |
painful genital ulcer | Chancroid (h. ducreyi), has bubo |
Painless genitcal ulcers | primary syphillis, Lymphogranuloma Venereum (Chlamidya T. L1-3, has bubo), Granuloma Inguinale (donovania, beefy red base) |
Which genital ulcer has a beefy red base | Granuloma Inguinale (Donovani...do giemsa stain) |