Genitourinary Infections

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Genitourinary Infections
2012-05-06 19:37:30
Genitourinary Infections

Genitourinary Infections
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  1. Bacterial Cystitis
    Sx: burning urination, frequent, urgent voiding, cloudy, smelly urine, pale-red urine

    most common UTI, NOT STD

    Tx: Antibiotics
  2. Leptospirosis
    Sx: Headache, fever, red eyes, muscle pain

    spread thru animal urine, spirochete

    Tx: Tertacycline (antibiotic)
  3. Bacterial Vaginosis
    Sx: Thin, grayish-white discharge, fishy smell

    Increase in clue cells

    Tx: Metronidazole (active against anaerobes)
  4. Vulvovaginal Candidiasis
    Sx: itching, burning, white clumpy discharge, redness & swelling, involves vagina & vulva

    Yeast = Candidia albicans

    Tx: Intravaginal anti-fungal meds
  5. Staphylococcal Toxic Shock Syndrome (STSS)
    Sx: sudden onset, high temp, sunburn rash, rapid dramatic drop in BP

    Superantigen exotoxin, wearing tampon too long

    Tx: antibiotics & neutralize toxins
  6. Gonorrhea
    Sx: asympt, painful urination, discharge, sterility, ectopic preg

    found on leucocytes of infected pus, can cause disseminated gonococcal infection (arthritis), Opthalmia neonatorum (infects eyes of newborns)

    Tx: Cephalosporins (antibiotic)
  7. Chlamydia
    Sx: grayish-white discharge, abnormal bleeding, abdominal pain, asymp

    #1 STD, elementary body, reticulate body

    Tx: antibiotics
  8. Syphilis
    • Sx: hard painless chancre, rash, balance issues, personality change, dementia
    • Congenital sx: no bridge of nose, notched teeth

    STD, motile g-neg spirochete not grown in lab

    Tx: Penicillin Injection
  9. Chancroid
    Sx: Soft, painful chancres, painful pus-filled lymph nodes

    STD, starts w/pimple, then dvlps ulcer

    Tx: antibiotics
  10. Genital Herpes Simplex
    Sx: itching, burning, blisters, ulcers

    STD, latent virus, promotes spread of HIV

    Tx: no cure, acyclovir decreses severity & recurrence
  11. Papillomavirus (HPV)
    Sx: genital warts, asymp

    STD, abnormal pap

    Tx: remove growth on cervix, remove warts (doesnt cure)
  12. AIDS
    Sx: fever, headache, muscle aches, enlarged lymph nodes, rash, Kaposi's lesions

    STD, needles, retrovirus, attacks helper T-cells

    • Tx: Meds available: block reverse transcriptase activ, act against viral protease, block viral integrase, interfere w/attachment
    • Given in combination; not curative but anti-viral therapy improves QOL
  13. Trichomoniasis
    • Sx: green frothy discharge, burning urination
    • Protozoan w/ jerky movements

    Tx: antibiotic