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Bacterial Cystitis
Sx: burning urination, frequent, urgent voiding, cloudy, smelly urine, pale-red urine
most common UTI, NOT STD
Tx: Antibiotics
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Leptospirosis
Sx: Headache, fever, red eyes, muscle pain
spread thru animal urine, spirochete
Tx: Tertacycline (antibiotic)
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Bacterial Vaginosis
Sx: Thin, grayish-white discharge, fishy smell
Increase in clue cells
Tx: Metronidazole (active against anaerobes)
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Vulvovaginal Candidiasis
Sx: itching, burning, white clumpy discharge, redness & swelling, involves vagina & vulva
Yeast = Candidia albicans
Tx: Intravaginal anti-fungal meds
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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
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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)
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Chlamydia
Sx: grayish-white discharge, abnormal bleeding, abdominal pain, asymp
#1 STD, elementary body, reticulate body
Tx: antibiotics
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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
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Chancroid
Sx: Soft, painful chancres, painful pus-filled lymph nodes
STD, starts w/pimple, then dvlps ulcer
Tx: antibiotics
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Genital Herpes Simplex
Sx: itching, burning, blisters, ulcers
STD, latent virus, promotes spread of HIV
Tx: no cure, acyclovir decreses severity & recurrence
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Papillomavirus (HPV)
Sx: genital warts, asymp
STD, abnormal pap
Tx: remove growth on cervix, remove warts (doesnt cure)
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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
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Trichomoniasis
- Sx: green frothy discharge, burning urination
- Protozoan w/ jerky movements
Tx: antibiotic
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