Epidemiology STD and HEPATITIS REVIEW

40 terms by Sotomania 

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PINK TERMS

Non-Gon. Urethritis S/S

M: 1-25% ;asymptomatic
F: most women; asymptomatic, may cause sterility and chronic problem with fallopian tubes

Non-Gon. Urethritis DX

if gram negative, intercellular organism cannot be identified on gram stain

Non-Gon. Urethritis TX

azithromiasin : 1gm p/o
doxy: 100 mg bid 7 days

Phthiriasis Pubis Infectious Agent

Phthirus Pubis : Crab Louse

Phthiriasis Pubis TX

1% Permetherin cream rinse (nix)
Lindane 1% shampoo

Scabies TX

Promethrin cream 5% all over for 8-14 hours
Linidine 1%

Scabies MOT

initial : 2-6 wks
Re-occuring : 1-4 days

Granuloma Inguinale S/S

Small beefy red nodules, vesicle or papule

Granuloma Inguinale Infectious Agent

Calymmatobacterium granulomitis

Lymphogranuloma Venereum S/S

Regional inflammation of lymph nodes and tissue

Lymphogranuloma Venereum Infectious Agent

Chlamydia Trach.
L1-L3

Lymphogranuloma Venereum TX

doxy: 100mg p/o bid for 21 days
erythro: 500 quid 21 days

Lymphogranuloma Venereum MOC

safe sex and abstinence

Chancroid S/S

single or multiple painful necrotizing ulcers

Chancroid Infectious Agent

haemophillis ducreyi
-gram neg bacilli single or cluster

Herpes TX

acyclovir: 200mg p/o 5 times daily (7-10d)
famciclovor: 250mg p/o 3 times daily (7-10d)
valacyclovir: 1g p/o bid 7-10 d

Condyloma Acuminatum Infectious agent

HPV

Condyloma Acuminatum TX

Cryotherapy with liquid nitrogen

HIV S/S

Oppurtunist infections: such as pnuemocystis carinii pnuemonia , chronic cryposporidiosis, disseminated hsv, essophogeal or lri candidiasis , cytomeglovirus infection

HIV DX

Elisa
WESTERN BLOT
ID specific viral antibodies

HIV TX

NONE

Syphilis S/S

Canker : painless with serious exudate
10-90 days
firm, non-feluctant painless satellite lymph node bubo. 2-6 weeks

Syphilis Infectious Agent

Treponemal pallidum

Syphilis Incubation Period

R: 10days to 3 months
A: 21 days

Gonorrhea S/S

M: Purulent discharge, dysuria
F: Most common symptoms resemble lower genital track infection ; increase vaginal discharge, dysuria, instrumental uterine bleeding, menorrhagia

Gonorrhea Infectious Agent

neisseria gonno. infection

Gonorrhea Susceptibility and Resistance

everybody, only effects transitional epithelium

HEP A S/S

aundice - few days of onset
<70% Adults are symptomatic
Clinical Illness 1-2 weeks

HEP A Infectious Agent

Hepatitis A Virus
RNA picornavirus 27nm

HEP A MOT

atm and sushi

HEP B S/S

Asymptomatic in 50% of adults
Prodromal Phase
Icteric Phase (1-3 weeks)
Chronic infection: 10% of acute cases
Fulminating: fatal cases of acute hepatic necrosis
1-3 ( Jaundice Phase)
Grey stool
Hepatomegaly (fat liver)

HEP B Infectious Agent

Hepatitis B Virus
42nm partially double stranded DNA

HEP B MOT

HBV contact with blood, body juice or fomites

HEP C DX

ELISA developed specifically testing HCV
EIA: Enzyme Immunoassy

HEP D S/S

Same as HBV

HEP D Infectious Agent

Hepatitis D Virus
35-37nm virus like particle

HEP D MOT

Same as HBV

HEP E S/S

Same as HAV

HEP E Infectious Agent

Hepatitis E Virus
32 nm Single strand rna

HEP E MOC

P: proper food prep , edu and proper disposal of feces and clean water
COP: Same as Hep a

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