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Most common pathogen for vaginitis.
candida albicans
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If recurrent vaginits, what should you consider?
- candida/yeast culture
- screening for DM and HIV
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Tx for candida albicans
Fluconazole po or topical -azoles
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What is amsel's criteria?
- Used to evaluate for BV; 3 out of 4:
- -homogeneous d/c
- -pH>4.5
- amine "whiff" positive
- - >20% clue cells on wet prep
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If pregnant woman has BV, how do you treat? WHat to avoid?
- Metronidazole (Flagyl) PO
- Avoid Metrogel & Clindamycin cream
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Most frequently reported STI and is mostly asymptomatic.
Chlamydia
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What is considered high risk for chlamydia?
- A new sex partner
- >1 sex partner
- a partner with concurrent partners, or
- partner with STI
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Tx for gonorrhea
- Ceftriaxone PLUS
- azithromycin
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Complications associated with gonorrhea.
- conjunctivitis
- arthritis
- meningitis
- endocarditis
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If pt not responding to tx for urethritis or vaginitis, what should you screen for?
mycoplasma
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What might you see in men with trich? Women?
- urethritis, epididymitis, prostatitis
- vag d/c (diffuse, yellow/green, frothy, malodorous)
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What can show false positive for syphilis on a Nontrponemal test?
- pregnancy
- HIV
- autoimmune DO
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What is the confirmatory test for syphilis?
Repeat treponemal test
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How would you screen for neuro syphilis?
Lumbar puncture
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Tx for primary or secondary syphilis.
Benzathine PCN IM single dose
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Tx for late latent/unknown duration syphilis.
Benzathine PCN IM weekly x 3
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Tx for syhilis if pregnant.
PCN
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Tx for neuro syphilis.
IV PCN every 4 hours for 10–14 days
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What drugs can cause proteinuria?
- lithium
- cyclosporins
- NSAIDs
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Causes of proteinuria other than meds & disease.
- emotional stress
- exercise
- fever
- dehydration
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