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Chapter116
Sexually Transmitted Diseases
18
Medical
Professional
10/15/2011

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Cards

Term
If patient has an STD, should the partner be treated for it as well? What the exceptions?
Definition
YES, exceptions are Vaginosis or Candidiasis (Yeast infection)
Term
Treatment for trichomoniasis?

When can women have sex again?
Definition
Metronidazole po

Can have sex again when asymptomatic
Term
Bacterial Vaginosis - Treatments?

Which treatment is preferred in pregnancy?
Definition
Metronidazole or Clindamycin

Metronidazole preferred to clindamycin in pregnancy
Term
What characterizes Trichomoniasis
Definition
Smelly off-white or yellow frothy discharge
Term
What characterizes Bacterial Vaginosis
Definition
Fishey smell grey, or milky and thin copious discharge
Term
What characterizes candidiasis?
Definition
White clump discharge - cottage cheese
Term
Treatment for candidiasis ? What should be avoided in pregnancy?
Definition
Clotrimazole, or prophylactic fluconazole

Avoid fluconazole in pregnancy
Term
Which STDs cause urethritis and cervicitis?
Definition
gonorrhea & chlamydia
Term
Gonorrhea symptoms in men and women
Definition
Men - "drip & burn"

Women - dysuria (same as men), intermenstural uterine bleeding, menorrhagia
Term
Treatments for Gonorrhea
Definition
3rd gen cephalosporin, or ciprofloxacin
Term
Who should not use ciprofloxacin for gonorrhea?
Definition
Gay men
Term
When can patients with gonorrhea resume sexual activity?
Definition
1 week after initiation of treatment
Term
Chlamydia treatment?
Definition
Azithromycin single dose or doxycycline
Term
Treatment of syphilis
Definition
Pen G
Term
What reaction can occur with Pen G for syphilis?
Definition
Jarisch-Herxheimer reaction in syphilis:
Sweating, fever, chills, rigors
Term
What cause anogenital warts?

Treatment ?
Definition
HPV causes anogenital warts

Treat with Podofilox or imiquimod
Term
Can podofilox of imiquimod (treatment for anogenital warts) be used in pregnancy?
Definition
NO!
Term
Pelvic Inflammatory disease treatment?
Definition
Levofloxacin or Ofloxacin

+/- Metronidazole
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