gonorrhea fetal effectsblindness, sepsisgonorrhea diagnostic testsculture and gram stain, ultrasound, CTgonorrhea medicationsantibiotics cephalosporinpts with gonorrhea are also often infected withHPV or chlamydia, both can be treated with doxycyclinesyphilis complicationsdementia, strokePrimary syphilisulcer or chancre on infected sitesecondary syphilisheadache, fever, nausea, vomiting, anorexia, fatiguetertiary/late syphilisdementia, headache, signs of organ failuresyphilis fetal effectspreterm birth, physical deformity, neuro complications, stillbirth, deathsyphilis medicationpenicillinchlamydia complicationsinfertility, PID, ectopic pregnancy, cervical cancerchlamydia physical findings in femalesright upper quadrant abdominal pain, dyspareunia, intermenstrual bleeding, vaginal discharge, dysuria, urinary frequencychlamydia physical findings in malesdysuria, urinary frequency, pruritus, urethral discharge, rectal pain/dischargechlamydia diagnostic testculture swabmedications for chlamydiaantibiotics: doxycycline, azithromycin, amoxicillin, erythromycinchlamydia fetal effectspremature birth, conjunctivitisgenital warts causeHPVgenital warts fetal effectsrespiratory papillomatosis, does not need C/S warts can be removedgenital warts symptomswarts, vaginal dischargegenital warts diagnostic testsdark field microscopy of wart cell scrapingsgenital warts mediation/proceduresimiquimod cream, cryotherapystage 1 HIVacute stage, flu like symptoms, high risk transmission, person may be unaware of being infectedstage 2 HIVvirus living and slowly developing but does not show symptomsstage 3 HIVAIDS, damage to the immune system, high risk of transmissionHIV/AIDS treatmenthighly active antiretroviral therapy is the standard treatmentAIDS symptomsearly symptoms: sore throat, rash, rhinitis
later symptoms: leukopenia, thrombocytopenia, fever, night sweats, weight loss, dry cough, lymphadenopathytrichomoniasis symptomsfrothy gray or yellow green discharge with foul odor, edema, pruritus of genitalia, pain with intercooursetrichomoniasis medicationmetronidazoletrichomoniasis nursing actions- avoid alcohol with medication
- need to treat partner tootrichomoniasis fetal effectsprematurity, low birth weight, respiratory and genital infectionbacterial vaginosis symptomsfishy odor, vaginal dischargebacterial vaginosis fetal effectspreterm rupture of membranes, chorioamnionitis, preterm birthbacterial vaginosis treatmentmetronidazole, clindamycinGroup B Streptococcus symptomsoften asymptomatic, can cause abnormal vaginal discharge, UTIs, chorioamnionitisGroup B streptococcus fetal effectsneurological sequelaegroup B streptococcus medicationspenicillin, ampicillinHep B symptomsoften asymptomatic: fever, fatigue, loss of appetite, abdominal pain, dark colored urine, clay colored stools, jaundicefetal effects hep Bchronic infection, cirrhosis of liver, liver cancerhep b treatmentno specific treatmenttoxoplasmosis maternal effectsasymptomatic or may have fatigue, muscle pains, pneumonitis, myocarditis, lymphadenopathytoxoplasmosis fetal effectsmay cause spontaneous abortion, low birth weight, hepatosplenomegaly, anemia, neurological diseaseprevention of toxoplasmosisavoid eating raw meat, avoid contact with cat fecesrubella maternal effectsrash, fever, headache, malaiserubella fetal effectsmay cause deafness, blindness, CNS anomalies, severe cardiac malformationsrubella preventionvaccinecytomegalovirus maternal effectsmay have mono like symptoms, often asymptomaticcytomegalovirus fetal effectsmay result in LBW, IUGR, hearing loss, microcephaly, CNS abnormalitiestreatment for cytomegalovirusnonecytomegalovirus transmissiondroplet, contact, transplacentalherpes maternal effectsgenital lesionsherpes fetal effectssepsis and neurological complications
