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female client has heavy, yellow-green, purulent vaginal discharge probably has what
gonorrhea
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male client who presents with mucopurulent discharge should have which initial exam done to confirm a preliminary dx of chlamydia
GC culture and gram stain for gonorrhea
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Most common complication of gonorrhea in women is
salpingitis that can progress to PID
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which lab studies can confirm a dx of syphilis in its primary stages
- DFM (dark field microscopy)
- Serologic test for syphilis
- Fluorescent treponemal antibody absorption test (FTA-ABS)
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What are treatments for chlamydial infections?
- doxycycline (vibramycin) for 7 days orally
- azithromycin (zithromax) in one dose
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current recommonded treatment regimen for uncomplicated gonorrhea is
a single dose of IM rocephin (ceftriaxine) or cefixin
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recommonded treatment for an acute primary infection of genital herpes is
- zovirax (acyclovir) for 7 -10 days
- famciclovir
- valacyclovir
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what is the treatment for syphillis
- penicillin IM
- Alternate: doxycycline, tetracycline, erythromycin
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What are the long term effects of syphillis
systematic diseases and even death
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what is the treatment for gonorrhea
- cefixime (orally)
- ceftriaxone (IM)
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What are some signs and symptoms of gonorrhea in women
abnormal discharge, pelvic pain, dysuria and swollen, red labia
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What is the treatment for HPV
- lmiquimod, podophyllin, podofilox
- cryotherapy (lesion removal)
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what can HPV lead to?
cervical cancer
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what are some S & S of HPV?
genital warts
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what are long term effects of chlamydia
- acute salpingitis
- PID
- Cervix inflammation
- ulcerations
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Which STIs are associated with PROM
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what STI is associated with preterm labor
trichomoniasis
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how do you treat trichomoniasis
metronidaxole
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what are S/S of trichomoniasis
- yellow/greenish malodorous discharge
- inflammation of the vulva and/or vagina
- irritation and itching
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