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Gray or white discharge w/ fish odor?
Treat with?
- Bacterial vaginosis
- Treat w/ metronidazole (safe in pregnancy)
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What type of cells are present in Bacterial vaginosis? How do you confirm this disease?
- Clue cells
- + KOH "Wiff test"
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See pseudohyphae on KOH prep?
Tx?
- Candida vulvovaginitis
- Topical antifungals, oral fluconazole
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Strawberry cervix w/ frothy yellow vaginal discharge. Motile flagellated protozoans are seen. Tx?
- Trichomonas vaginalis
- Metronidazole
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Secondary syphilis has a rash where?
Palms and soles
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Primarily presents w/ painless chancre
Secondarily has rash on palms and soles
Tx?
- Syphilis (Treponema pallidum)
- Tx= Penicillin G
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In all 50 states, the following STIS must be reported
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Gonorrhea tx?
IM Ceftriaxone
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Chlamydia tx?
Single dose of oral azithromycin
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What causes genital herpes?
HSV-1, HSV-2
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2 Painless Genital Ulcer Diseases
- Granuloma inguinale (donovanosis)
- Syphilis
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3 Painful Genitul Ulcer Diseases
- Genital herpes
- Chancroid
- Lymphogranuloma venereum
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Most common culprits of PID?
- N. gonorrheae
- Chlamydia trachomatis
- Vaginal microflora
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Acute infection of upper genital organs (uterus, ovaries, fallopian tubes)
PID
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Fitz-Hugh Curtis Syndrome
RUQ pain, gonnorheal infection of the liver
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Cervical motion and adnexal tenderness (chandelier sign) is indicative of?
PID
-
PID tx?
Ceftriaxone + doxycycline (+/- metronidazole)
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Five Ps of obtaining sexual histories
- Partners
- Prevention of pregnancy
- Protection from STDs
- Practices
- Past history of STDs
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Rights of Minor
- Emancipated
- Requesting contraception
- Tx for pregnancy
- Tx for STI
- Tx for psychiatric illness
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3 common causes of vulvovaginitis
- Bacterial vaginosis
- Yeast (candida species)
- Trichomonas vaginalis
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