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40 terms

Epidemiology STD and HEPATITIS REVIEW

PINK TERMS
STUDY
PLAY
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