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Exam 3 part 1
Sexually Transmitted Infections
42
Nursing
Undergraduate 4
11/05/2011

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Cards

Term
Cancers caused by STI
Definition
HPV, HBV, EBV (Epsten Barr Virus)
Term
Ulcerative STI
Definition
chancroid, syphilis, genital herpes
Term
Inflammatory STI
Definition
gonorrhea, chlamydia, trichomonas. increase risk of HIV infection
Term
Biologial: Hidden epidemic
Definition
preexisting concurrent STD, lack of signs and symtoms, long lag time from infection to signs of complications, foreskin, douching, risky sex practice, hormonal birth control .
Term
Social: hidden epidemic
Definition
povery and inadequate health care, substance use, sexual abuse, mixed messages TV media about sexuality
Term
Risk markers
Definition
marital status, race, sexual orientation, rural/urban, SES
Term
Risk Markers or Risk Factors
Definition
Age, gender, smoking, alcohol drug abuse, other STD, contraceptive methos, lack of circumcision.
Term
Risk factors
Definition
sexual behaviors, health care behaviors.
Term
Types of STI
Definition
bacterial (gonorrhea, chlamydia, syphilis) Viral (genital herpes, genital warts, HBV.) Protozoan (trichomoniasis) Parasitic (Scabies/pubic lice)
Term
Diagnosis that covers many STIs
Definition
NGU - non gonococcal urethritis. MPC-mucopurulent cervicitis.
Term
NGU-nongonoccal urethritis
Definition
inflammation of the urethra, not caused by gonoccal infection.
Mucoid or purulent (pus) urethral discharge. (caused by Chlamydia, ureaplasma, Trich)
Term
Treatment of STD
Definition
Azithromycis (1 gm in single but expensive) Erythromycin (500 mg qid for 7 days) Doxycycline (100 mg bid for 7 days)
Term
MPC-Mucopurulent cervicitis
Definition
inflammation of the cervix, yellow endocervical exudate. (can't see gonorrhea under microscope, it's too cloudy) Caused by: usually Chlamydia, gonorrhea. Treatment results of tests , or dual for both
Term
Ping-ponging
Definition
person takes half prescription, infect partner. Think they can't have sex until cleared or antibiotics are done.
Term
Chlamdia
Definition
Most common STI. bacterial, important bcuz can cause blindness in baby, very damaging and very preventable. Females few symptoms. Epithelial inflamm, scarring. Bacteria completes life cycle in cell and works by taking over and destroying cell (like virus) . AB don't work when organism is inside cell.
Term
Symptoms of Chlamydia
Definition
females few or none. Males-heaviness in testicles unilateral, swelling at bottom of testicle, inflamm of scrotal skin, painful urination, muco purulent or purulent drainage at penile opening. Can be asymptomatic.
Term
Female chlamydia two types of infection
Definition
Mucosal infection of lower reproductive tract:urethritis, cervicitis. 2 invasion of uppoer reproductive tract: palvid inflamm disease (PID) causes scarring. assess all mucosal membranes.
Term
Gonorrhea
Definition
"clap" "GC" Gram neg diplococci-subspecies are penicillin resistant. Prefers epithelial surfaces-young girls at risk. Local inflamm reaction.
Term
Symptoms of GC
Definition
women 80% asymptomatic (increased vag discharge, painful urination, painful intercourse, cervix infection, PAP test). men-(1-5 days after infection) urethritis bad smelling cloudy discharge from penis, burning sensation during urination.
Term
Treatment of GC
Definition
single does of antibiotic IM. Ceftriaxone plus Azithromycin or Doxycycline.
Term
GC complications
Definition
left untreated in early stages, symptoms may disappear. But, bacteria may move to other organs causing more serious infections and complications, PID, sterility.
Term
Genital Herpes
Definition
Acute inflammatory viral disease of genital area characterized by vesicular lesions/ ulcers. Type I 10-20%. Type II-80-90%.. Ulcers appear 2-7 days after exposure, virus harbored on dorsal nerve root. recurrent infection.
Term
Genital herpes symptoms
Definition
dyspareunia, itching, dysuria, tingling , blisters, ulcers
Term
Diagnosis of Genital Herpes
Definition
HSV tissue culture 90% sensitive from vesicle) HSV antibody titer increase between acute and convalescent specimens 2 weeks later.
Term
Genital Herp transmission
Definition
asymptomatic shedding, childbirth issues
Term
Genital Herpes Treatment and care
Definition
-no cure. Medis (cyclovir) Comfort measure, baths, lesions clean and dry, analgesics. Yearly pap smear.
Term
HPV
Definition
STI in which lesions appear as cauliflower-like growths in or around genital area or rectal. more than 100 viruses, more than 30 in genital tract. Plays role in cancer of cervix and of GU system in both sexes.
Term
Co-infection of STI
Definition
20-25% of women with genital warts also have GC or trichomonas
Term
HPV Symptoms
Definition
usually few. Pedunculated, elongated raised fleshy lesions. Pink or red in color, may be in vagina, cervix or rectal area
Term
Stages of HPV infection
Definition
clinical: condyloma. subclinical : condyloma (flat) cannot feel or detect. Latent: things get murky
Term
HPV treatment
Definition
burning, freezing, chemicals, surgical removal, patient applied gells for genital warts Podofilox, Aldara
Term
Bacterial Vaginosis
Definition
replacement of normal flora with anaerobic organisms, mycoplasmas or garnerella.
Term
Diagnosis of BV
Definition
Thin vaginal discharge, presence of clue cells, + whiff test KOH + discharge smells like fish. Vaginal pH greater than 4.5 . Absence of normal vag lactobacilli. Metronidazole treats
Term
Trichomoniasis
Definition
1-celled protozoan, 1/4 of vaginitis cases cause. irritation/itching tissues. women affected more than men. frothy discharge, edema
Term
Symptoms of Trichomonas
Definition
not all women have noticiable symptoms, men carry infection but many men don't experience symptoms. Women-abundant frothy white or yellow vaginal discharge with an unpleasant odor. itching pain inflamm of tissues of vag and vulva.
Term
Treatment of Trichomonas
Definition
anti-fungal drug, metronidazole (flagyl) SE stomach upset, alcohol
Term
Candidiasis (yeast infection)
Definition
Protozoan, is normally present in vagina of most women. overgrowth occurs.
Term
Causes of candidiasis
Definition
diabetes, antibiotics, compromised systems (stress), douching.
Term
Symptoms of trichomonas
Definition
white, clumpy discharge "cottage cheese" intense itching and soreness of the vaginal and vulval tissues. Treat with Miconazole over the counter (make sure it is yeast infection. )
Term
Pubic Lice/Scabies
Definition
parasitic insect, common can be found in all SES people. Intense itching and scratching
Term
Scabies/Pubic Lice
Definition
linear burrows. Men-fuinger webs belt line, thighs, external genitalia. Women arround nipples, abdomen, lower portion of buttox.
Term
Pubic lice/Scabies treatment
Definition
permethrin, lindane
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