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STIs - Coggle Diagram
STIs
Gonorrhea
Site of Infection
Conjunctiva, Pharynx, Urethra, Skene and Bartholin Glands, Cervix, Rectum, Systemic
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Symtpoms
Male
Urethral discharge, urethritis, dysuria, testicular pain, proctitis
Female
Vaginal Discharge, Dysuria, Abnormal bleeding, Dysparaunia
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Observations
Male
Erythematous/Edematous meatus, Profuse + Purulent d/c
Female
Mucopurulent endocervical discharge, hypertrophic cervicitis/ectopy
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Testing
Pharyngeal, Vaginal, Rectal Swab at presentation
Chlamydia
Sites of Infection
Conjuctiva, pharynx, urethra, cervix, rectum
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Symtpoms
Male
Urethra discharge, urethritis, dysuria, testicular pain, proctitis
Female
Vaginal dyscharge, dysuria, abnormal vaginal bleeding, dysparaunia, proctitis
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Observations
Male
Erythematous meatus, balanitis, mucoid-mucopurulent
Female
Mucopurulent endocervical discharrge, hypertrophic cervicitix/ectopy
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Syphillis
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Symptoms
Stage 1
Flu like symptoms, adenopathy, chancres, neuro
Stage 2
Rash, lesions, flu-like symptoms, Neuro Symptoms
Stage 3/Latent
Cardiac, neuro, skin, bone, soft tissue destruction
Testing
EIA (Screen), RPR (Response to treatment), TP.PA (Confirmatory)
Staging
History: Risk factors, previous testing, diagnosis, symptoms, HIV status
Examination: Integument, Lymphatic
Lab Results: Direct Testing, serology
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Treatment
Benzthine Penicillin, Doxycline
Testing
Serology and DFA at presentation, DFA at presentation
HIV
Symptoms
Stage 1
Flu-lIke symptoms + Adenopathy, Macular rash + Oral Lesions, weight loss, abdo pain
Stage 2
Asymptomatic, painless adenopathy, Noncontiguous State
Latent/Stage 3
Immune system failure, opportunistic infections, low CD4 T cell count
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Transmission
Contact between CD4 cells and Blood, breast milk, GU Fluid
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Screening
gbMSM, Trans, ACB, Endemic, PWUD
Trichomoniasis
Sites of Infection
Urethral tissue, skene and bartholin glands, vagina, cervix
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Symptoms
Male
Urethral discharge, urethritis, DYsuria
Female
Vaginal Discharge with odour, dysuria, Pruritius
Pbservations
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Female
Profuse purulent discharge, erythemaotus vulva/cervix, colpitis, macularis
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Epididymitis
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Symptoms
Onset of unilateral testicular pain, urethritis
Diagnosis
Testicular tenderness, swollen epididymis, urehtral discharge, hydrocele, Erythema/Edema of scrotum, fever
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Treatment
Cryotherapy
Liquid Nitrogen to free-thaw cycles per lesion, destruction of skin limited to epidermis
Podophyllin
Wash and dry affected area, protect with petroleum jelly, Use only if no other treatment options
Imiquimod
Apply to affected areas, immune modulator
Higher Concentration, immune modulator
Podophyllotoxin
Washa nd dry affected area, protect surrounding skin with petroleum jelly, safer more cost effective thatn clinical applied
HSV
Symptoms
Stage 1
Vesicles, oroulcers, flu like symptoms, local lymphodenopathy
Stage 2
Less than primary outbreak, infrequent systemaic symptoms (local lymphadenopathy)
Latent/Stage 3
Localized vesicles/ulcers, prodromal symptoms
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Balanitis
Definition
Inflammation of glans penis, often with posthitis
Symptoms
Glans Penis is pruritis erythematous, edematous, papulse, pustules, scales, satelite
Treatment
Hygiene, Antifungal Creams, Antifungal/Abx/cortisone
Genital Warts
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Symptoms
Soft, Skin-Coloured paule, discrete growths, califlower-like
Treatment
Cryotherapy, Podophyllin, Imiquimod
Molluscum
Definition
Benign, self-limiting epidermal viral infection
Symptoms
Round, flat, umblicated painless papule, can express "cheese-like" substances with manipulaition
Treatment
ABlation, cuterage, watchful waiting