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STDs
N/A
62
Health Care
Undergraduate 2
02/13/2010

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Cards

Term

In the US how many people are currently living with an incurable STD?

 

-How many are newly infected with one or more STDs each year?

Definition

65 million.

 

-15 million.

Term
STDs are most prevalent among who?
Definition
Among teenagers and young adults between the ages 15-24.
Term
Trends have shown 3 things that tend to promote the spread of STDs. what are they?
Definition

1)Sexually active at younger ages.

2)People are getting married at older agers.

3)The divorce rate is higher.

Term
Are problems associated with STDs more severe in women or men?
Definition
Women because of the asymptomatic nature of some of the infections.
Term
Do STDs survive well in the environment?
Definition
No, They survive very poorly in the environment.
Term
What are acute STD manifestations?
Definition

oMucopurulent cervicitis and urethritis
(gonorrhea and chlamydia)
oGenital ulcer disease
(syphilis, chancroid, genital herpes)
oDysplasia and cancer
(genital warts, cervical cancer)

Term
What are Chronic STD Consequences?
Definition

oPelvic inflammatory disease (PID) – an ascending infection of the uterus and fallopian tubes caused by N. gonorrhea and Chlamydia.
oAnogenital and cervical cancer – caused by some human papilloma viruses (HPVs).
oSecondary and tertiary syphilis
oRecurrent herpes virus (HV) infection

Term
What is Chlamydia also termed as?
Definition
non-gonoccoal urethritis, (NGO)
Term
What is the most frequently reported bacterial STD in the U.S.?
Definition
chlamydia
Term
What is Chlamydia caused by?
Definition
Chlamydia trachomatis, a bacterium.
Term
What can Chlamydia trachomatis damage?
Definition
a woman's reproductive organs.
Term
What is chlamydia also known as?
Definition
The silent disease.  Because 3/4ths of infected women and 1/2 of infected men have no symptoms.
Term
When can symptoms develop?
Definition
symptoms can delop in 7-14 days.
Term
What does chlamydia trachomatis bacteria initially attack?
Definition

the cervix and the urethra.

-The few women with symptoms might have ab abmorla vaginal discharge or a burnig sensation when urinating.

Term
When the chlamydia trachomatis infection spreads from the cervix to the fallopian tubes some women still have no signs and symptoms others have:
Definition
abdominal pain, low back pain, nausea, fever, pain during intercourse, and bleeding between menstrual periods.
Term
whenever chlamydia trachomatis infection spread past the cervix into the upper reproductive system, what can occur?
Definition
permanent and irreversible damage.
Term
In men with chlamydia signs or symptoms might include:
Definition

penile discharge

-burning sensation when urinating.

Term
Why are sexually active young women especially susceptible to chlamydia trachomatis?
Definition
Because the cells that form the lining of the cervical canal are immature.
Term
is chlamydia easy or hard to treat?
Definition
It can be easily treated and cured with antibiotics.
Term
if chlamydia is untreated in males what can it cause?
Definition
urethral infection, can cause  infertility if spreads to the epididymis.
Term
In 30% or more of untreated women with chlamydia it can spread into the uterus or fallopian tubes and cause what?
Definition
Pelivc inflammatory disease, which can lead to chronic pelvic pain, infertility, and fatal ectopic pregnancy.
Term
In pregnant women chlamydia infections can lead to:
Definition
-premature delivery.
Term
What is the leading cause of early infeant pneumonia and conjunctivities in newborns?
Definition
chlamydia
Term
What is Gonorrhea caused by?
Definition
Neisseira gonorrheoeae, a bacterium.
Term
Where does Neisseria gonorrhoeae easily grow and multiply?
Definition
in the mucous membranes of the body
Term
Where can gonorrhea bacteria grow?
Definition

in the warm, moist areas of the reproductive tract.

 including: the cervix, uterus, fallopian tubes and the urethra in men and women.

Term
When infected with gonorrhea most men have:
Definition
a burning sensation when urinating and a yellowish white discharge from the penis.
Term
In women, what are the symptoms for Gonorrhea?
Definition

Many women haave no symptoms, but may include:

-painful or burning sensation when urinating

-a vaginal discharge that is yellow or occasionally bloody.

-If left untreated  in women it can lead to PID.

Term
When do gonorrhea symptoms usually occur?
Definition
2-5 days after infection, but can take as long as 30 days.
Term
What is pelvic inflammatory disease?
Definition
an ascending infection of the uterus, fallopian tubes, ovaries and adjacent peritoneal linigns.
Term
what is the most common consequence of STDs affecting women?
Definition
PID
Term
What can untreated PID lead to?
Definition
-infertility, ectopic pregnancy, abscess formation, and chronic pelvic pain.
Term
What percent of women with untreated chlamydial or gonococcoal cervicity develop PID?
Definition
10-40%
Term
Wome  who have symptoms of PID most commonly have?
Definition
lower abdomical pain
Term
what percent of women with PID become infertile?
Definition
17-25%
Term
Can PID be cured?
Definition
yes, with antibiotics, if prompt, but it won't reverse any damage that has already occured.
Term
What is syphilis also know as?
Definition
veneral pox
Term
What is syphillis caused by?
Definition
the bacterial spirochete, Treponema pallidum
Term
What is syphilis often called because so many of the signs are indistinguishable from those of other diseases?
Definition
the great imitator
Term
If left untreated what can syphilis lead to?
Definition
cardiovascualr and neurological disease, blindess and death.
Term
Syphillus causes__________which increases the likelihood of sexual HIV transmission 3-5 fold.
Definition
genital ulcers
Term
Syphilis is usually seen in what situations?
Definition
situations where there are multiple opportunities for large numbers of anonymous sex partners, such as situations where sex is exchanged for drugs.
Term

What is the primary stage in sypilis?

Definition

oThe time between infection with syphilis and the start of the first symptom can range from 10-90 days (average 21 days).
oThe primary stage of syphilis is usually marked by the appearance of a single sore or ulcer (called a chancre), but there may be multiple sores. The chancre is usually firm, round, small, and painless.
oIt appears at the spot where syphilis entered the body. The chancre lasts 3-6 weeks, and it will heal on its own. If adequate treatment is not administered, the infection progresses to the secondary stage.

Term
Second stage of syphilis?
Definition

o3-6 weeks after the ulcer heals, the secondary form of the disease occurs in about 50% of infected individuals.
oThe second stage represents the systemic spread of the disease and signifies reproduction of the treponemes in the lymph nodes, the liver, joints, muscles, skin, and mucus membranes. 
oThe second stage is evident when one or more areas of the skin break into a rash that usually does not itch. Rashes can appear as the chancre is fading or can be delayed for weeks.

Term
Secondary stage syphilis
Definition

oEven without treatment, rashes clear up on their own.  Because the disease can involve different organs and tissues, symptoms can be varied and include fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight loss, muscle aches, and tiredness.

Term
Tertiary (late) stage
Definition

oAs the second stage resolves, about 33% of those infected are spontaneously cured; while in the other 67%, the organisms remain latent for years or decades without symptoms, and 50% of those will eventually develop tertiary syphilis.
oTertiary syphilis results in tissue destruction, and may result in damage to the brain, nerves, eyes, heart, blood vessels, liver, bones, and joints.
oLate stage signs and symptoms include not being able to coordinate muscle movements, paralysis, numbness, gradual blindness and dementia. This damage may be serious enough to cause death

Term

Tertitary (late stage) syphilis

treatment

Definition
A single dose of penicillin will cure a person who has had syphilis for less than  a year.  Larger doses are needed for people who have had it longer.
Term
Genital herpes is caused by?
Definition
-herpes simplex viruses types 1 and 2.
Term
HSV-1 occurs primarily where?
Definition
above the waist-mouth and lips-fever blisters.
Term
HSV-2 occurs primarily where?
Definition

below the waist.

-one or more blisters on or around the genitals or rectum.

Term
Is there a cure for herpes?
Definition

Nope, no cure because it is a virus.

-can be slowed down with symptom treatment.

Term
What are genital warts caused by?
Definition
up to 30 different types of the human papillomavirus.
Term
What is the most common STD in the US?
Definition
Genital warts
Term
there is a very strong link between genital warts and what?
Definition
cervical cancer.
Term
Is there a vaccine for HPV infection?
Definition
yes there is
Term
Hepatitis B Virus can cause what?
Definition

severe liver disease and death (there is a vaccine but not cure.)

-It damages the liver and may cause cirrhosis and liver cancer.

Term

What is trichomonoiasis caused by?

 

Definition
the protozoan trichomonas vaginalis
Term
What is trichomoniasis also know as?
Definition
the ping pong disease.
Term
Pubic lice is also called?
Definition
crabs
Term
What is pubic lice cause by?
Definition

Phthirus pubic

 

-treated by pesticide preparations.

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