-
Gonorrhea
- gram negative diplococcus
- grown on chocolate agar
- MC symptom is dysruria
- MC sign: green mucopurulent discharge
- MC jt: knee
- MC sequella: testes w/ sterility
- women= salpingitis
- newborn= blindness
-
Chlamydia
- reiters- conjuctivitis, urethritis, arthritis
- PID in females
- males asymtomatic
- MC cause of female infertility in US
-
PID/Salpingitis
gonorrhea, chlamydia, candidiasis, trich
-
Syphillis
- teponema pallidum
- transplacental transmission
- treated w/ penicillin
- hutchinson's triad: keratitis, notched incisors, CN VIII deafness
- test: darkfield microscopy
-
Syphilis stage 1
hard PAINLESS chancre (up to 8 wks)
-
syphillis stage 2
- maculopapular rash
- condylomata lata and alopecia
- contagious!
- (8 wks-2 yrs)
-
syphilis stage 3
- tabes dorsalis
- gumma (pathopneumonic)
- aortic aneurysm/aortic valve insufficiency
-
trichimoniasis
- "girls that turn tricks- get the green"
- green yellow frothy, foul discharge
- parasite
-
monilasis/ candidiasis
- fungus/yeast
- white cottage cheese discharge
- thrush in mouth
- diabetes assoc.
-
lymphogranuloma venereum
- chlamydia
- lymphnodes on the groin
- rectal strictures
-
granuloma inguinale
- bacterium
- red, beefy lesion on the perineal area
-
genital herpes
- HSV-2 virus
- vesicle
- clusters
- reoccuring
-
Genital warts: condylomata accuminata
- organism is HPV
- papilloma
- painful, soft, flesh colored, cauliflower
- cervical cancer link
-
chancroid
- hemophilus ducreyi
- "he do cry"= painful
- soft & painful
-
AIDS
- organism is HIV
- contraindicated for breast feeding
-
AID
- homosexual males/iv drugs
- ELISA testing/ western blot
- pneumocystis carinii, giardia lamblia, kaposi
-
molluscum contagiousum
- virus
- occurs in children
- dome shaped flesh colored or gray papule
- pearly/white core
- mouth & eyelids
-
macule
small lesion <.5 cm, freckle or measles
-
papule
- sm raised lesion ,.5
- measles & syphilis (solid)
-
vesicle
- small <.5 cm
- filled w/ serious fluid
- herpes
- chickenpox
-
pustule
- small lesion
- filled w/ pus
- staph infection
-
nodule
hard lesion, large
-
bulla
- large fluid filled lesion
- mucous membranes
- tobacco use
-
impetigo
- staph or strep
- gold crusty lesions around mouth or hand
-
erysipleas
- hemolytic strep
- red fiery
- fever- elevated ASO titer
-
furnucle
- staph-infected hair follicle
- painful nodule
-
carbuncle
carload of furncles
-
paronycia
- bacterial/fungal hand infection
- hang nail
-
felon
- sub facial inflammation
- infection of the fingerpad
-
fungal tinea infections
dx: wood's lamp, skin scraping
-
tinea ___
- corpus: body
- pedis: athletes foot
- ungunum: nails
- capitus: scalp
- cruris: jock itch
- barbae: beard
-
yeast infection
- candia albicans
- oral is called thrush
-
tinea versicolor
- multiple hypo pigmented
- asymptomatic lesions
- white to brown
-
aphthous stomatitis
- kanker sore
- pitted erythematous lesion
- ulcer in the mouth
-
seborrheic dermatitis
dandruff, cradle cap
-
pityriasis rosea
- hearld patch
- oval/round lesions
- viral
-
psoriasis
- silver scales
- pitted nails
-
herpes zoster
- aka: shingles
- dorsal root ganglion, course of dermatome
-
vitilligo
- auto-immune conidtion
- depigmentation
- absent melanocytes
-
albinism
- complete depigment
- lack of melanin
- first noticed at birth
-
urticaria
- hives/wheal
- allergy related
- penicillin or food allergy
-
pephigus vulgarus
- potentially life threatening condition
- bulla on skin
-
acne rosecea
- face, nose, cheecks
- exacerbated by sunlight, caffeine and alcohol
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