Most common pathogen for vaginitis.
If recurrent vaginits, what should you consider?
- candida/yeast culture
- screening for DM and HIV
Tx for candida albicans
Fluconazole po or topical -azoles
What is amsel's criteria?
- Used to evaluate for BV; 3 out of 4:
- -homogeneous d/c
- amine "whiff" positive
- - >20% clue cells on wet prep
If pregnant woman has BV, how do you treat? WHat to avoid?
- Metronidazole (Flagyl) PO
- Avoid Metrogel & Clindamycin cream
Most frequently reported STI and is mostly asymptomatic.
What is considered high risk for chlamydia?
- A new sex partner
- >1 sex partner
- a partner with concurrent partners, or
- partner with STI
Tx for gonorrhea
- Ceftriaxone PLUS
Complications associated with gonorrhea.
If pt not responding to tx for urethritis or vaginitis, what should you screen for?
What might you see in men with trich? Women?
- urethritis, epididymitis, prostatitis
- vag d/c (diffuse, yellow/green, frothy, malodorous)
What can show false positive for syphilis on a Nontrponemal test?
- autoimmune DO
What is the confirmatory test for syphilis?
Repeat treponemal test
How would you screen for neuro syphilis?
Tx for primary or secondary syphilis.
Benzathine PCN IM single dose
Tx for late latent/unknown duration syphilis.
Benzathine PCN IM weekly x 3
Tx for syhilis if pregnant.
Tx for neuro syphilis.
IV PCN every 4 hours for 10–14 days
What drugs can cause proteinuria?
Causes of proteinuria other than meds & disease.
- emotional stress