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SEXUALLY TRANSMITTED INFECTIONS (BACTERIAL (SYPHILIS (TREATMENT (AFTER…
SEXUALLY
TRANSMITTED
INFECTIONS
BACTERIAL
GONORRHEA
INCUBATION d-1w
WOMEN
S/S (appear asymptomatic)
CERVICAL drainage
very UNlikely to seek treatment
continued transmission
PELVIC INFLAMMATORY DISORDER
SYSTEMIC INFLAMMATION
MEN
S/S
drainage
painful urination
very likely to seek treatment
PING PONG EFFECT
CRUCIAL THAT PARTNER IS ALSO TREATED SIMULTANEOUSLY
The phenomenon in which sexual partners re-infect each other with the same sexually transmitted disease (STD). First, an individual who has the STD infects his or her partner. The partner may then re-infect the individual, after the individual has been cured from that particular STD.
TX:
ceftriaxone IM
azithromycin PO
CHLAMYDIA
WOMEN
S/S (appear asymptomatic)
CERVICAL drainage
very UNlikely to seek treatment
continued transmission
PELVIC INFLAMMATORY DISORDER
SYSTEMIC INFLAMMATION
MEN
S/S
drainage
painful urination
very likely to seek treatment
INCUBATION 1-3w
PING PONG EFFECT
CRUCIAL THAT PARTNER IS ALSO TREATED SIMULTANEOUSLY
The phenomenon in which sexual partners re-infect each other with the same sexually transmitted disease (STD). First, an individual who has the STD infects his or her partner. The partner may then re-infect the individual, after the individual has been cured from that particular STD.
TX:
azithromycin (PO 1x)
doxicycline (longer duration)
SYPHILIS
SPIROCHETE
TREATMENT
UNTREATED = SYSTEMIC COMPLICATIONS
PENICILLIN
PREGNANCY
extremely high rate of stillbirths if untreated, likely to be OK if treated in 1st trimester
AFTER TREATMENT
FLUP TESTING
not sure if it will clear the infection, need to be sure is totally clear
TRANSMISSION = CONTACT
CHANCRE
lesions apparent in the early stages
DRAINAGE IS HIGHLY INFECTIOUS
most likely to be at SITE OF TRANSMISSION
GUMMAS
lesions apparent in later stages
drainage is contagious
anywhere on the body
DIAGNOSIS
INCUBATION =10-90 days
can be a big issue when concerned about transmission, as the patient will be UNAWARE that they are contagious during this period
cultures, bloodwork
BLOODWORK
VDRL TEST
ANTIBODY TEST
if have ever had syphilis this will not be helpful
TX: ANTIBIOTICS
GOAL: CURE
VIRAL
TX: ANTIVIRALS
GOAL: DORMANCY
HSV
HSV1
(oral)
HSV2
(genital)
ASYMPTOMATIC
(most of the time)
FLARES
TRIGGERS:
stress
sunburn
menses
immunosuppression
1st outbreak is likely the worst
EARLY USE OF AVIRALS = SHORTER DURATION
PAINFUL
COMFORT:
diluting urine
sitz baths
keep lesions dry
lidocaine ointments
HPV
NON-PAINFUL GROWTHS
TREATMENT:
removal (burn/freeze)
surgical
MAIN CONCERN: body image
CANCER
MC is CERVICAL CANCER
ESOPHAGEAL CANCER