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cannot survive long outside the body but inside the body it produces rapidly
chlamydia
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when chlamydia is left untreated what happens?
salpingitis and PID, tissue inflammation
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males symptoms of chlamydia
dysuria, genital discharge
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symptoms of females for chlamydia?
grayish white discharge, itching, dysuria
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Antibiotics of chlamydia?
- Doxycycline(Vibramycin)
- Azithromycin (zithromax)
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causes of gonorrhea?
Nessiceria gonorrhea
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Gonorrhea can reproduce and grows well where?
in warm areas, oral, reproductive, tract and rectum
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when do symptoms occur when in gonorrhea?
2-10 days
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symptoms in men for gonorrhea?
dysuria, purulent discharge from penis
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symptoms in female for gonorrhea?
dysuria, yellow or bloody discharge
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can gonorrhea spread to infant eyes?
yes and treated opthlamia neonatrum
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treatments of gonorrhea?
single dose of cipro, followed by 7 day course of doxycycline
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syphilis called?
treponema pallidum
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1st stage of syphilis?
painless papule, 10-90 days
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heals within a few weeks even without treatment
stage 1 syphilis
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penny size brown sores 3-6 wks after chancre?
secondary syphilis
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rash noted to hands, feet, heals in several months
secondary syphilis
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symptoms of secondary syphilis
low grade fever, headache, fatigue, sore throat, lymph node largement cconfused with hpv
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how long can secondary symptoms go for in symphilis
1-2 yrs
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called great immitator
syphilis
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early latency?
3rd stage of syphilis
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possible infectious lesions, asymptomatic, reactive serologic test
early latency
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possible lesions in CNS and CV system, non infectious
late latency
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treatment of syphilis?
PCN, periodic blood test
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affects 60 million people a year with appx 500,000 new cases a year
genital herpes
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herpes simplex1?
cold sores, fever blisters
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herpes simplex 2?
genital sores
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appears 2-10 days and last 2-3 weeks?
S/S of herpes
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S/S of herpes
itching, burning, pain in genitals, legs and butt, vaginal discharge, abd pressure
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other symptoms of herpes?
fever, muscle aches, HA, dysuria, swollen glands of groin
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with in the first episode the virus travels through the sensory nerves where it remains inactive in the nerve cell until the virus travels back to the skin causing a reoccurence
herpes
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what are the reoccurent symptoms like?
reoccurence varies 1-2 yrs and symptoms are milder than 1st episode and last 1 week
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treatment of herpes?
blood test and cultures and there is no cure.
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what medications are used?
- acyclovir (Zovirax)
- Valacyclovir (Valtrex)
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Cytomegalovirus
part of the herpes family, sent through semen, saliva, urine, blood, cervial muscus
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S/S of cytomegalovirus?
fever, fatigue and weakness
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monoucleosis is mistaken as herpes
cytomegalovirus
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Genital warts?
HPV virus or condylomata acuminata
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whos at most risk for genital worts?
teenage girls or young women.
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incubation period of HPV?
1-2 mo or as long as 6 mo
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warts growing in clusters forming a cauliflower shaped appearance, no cure
genital warts
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treatment for genital warts
cryosurgery, laser surgery, cauterization
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medication for genital warts
podden it must be washed off 4-6 hrs or may cause chemical burn
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what do we not use on diabetics bc of poor circulation?
Podophyllum resin
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causes of trichomoniasis?
parasitic protozoan
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transmission of trichomoniasis?
sexual
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incubation peropid for trchomoniasis?
4-20 days
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S/S of trichomoniasis
vulval and vaginal pruritis, vaginal discharge, frothy, copious yellow green mucus
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S/S of trichomoniasis?
severe itching, redness, swelling, pain on intercourse, urinary frequency, grayish, malodorus discharge
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S/S of males trichomoniasis
watery whitish discharge, dysuria, urethritis, can be dormant
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treatment of trichomoniasis?
both partners should be treated, pregnant women should be treated first trimester to avoid birth defects
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med to treat trichomoniasis
Flagyl (metronidazole)
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Hepatitis B
can be through sexual contact, body fluids and drug paraphernalia
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S/S of Hep B
anorexia, ABD discomfort,n/v, fatigue, jaundice can progress to chronic liver disease, hepatic cancer and death
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is there a vaccine for hep b?
YES!
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nursing management of Hep B?
hand hygiene, barrier method, avoid sharing needles, past and present sexual contact
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