STDs

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Author:
alvo2234
ID:
239200
Filename:
STDs
Updated:
2013-10-07 04:49:26
Tags:
Exam II
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Description:
Dr Anassi
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  1. which STDs have sores
    • syphilis
    • herpes
  2. which STDs are painful
    • chancroid
    • herpes
  3. which STDs are painless
    • syphillis
    • LV
    • granuloma inguinela
  4. when is early latent syphillis
    < 1 yr
  5. when is late latent syphillis
    >= 1 yr duration
  6. tx for primary, secondary, and early latent syphillis
    2.4 million units of Benzathine penicillin (bicillin) IM
  7. what do you give a pt with primary, secondary, early late syphilis who is allergic to penicillin
    • doxycycline 100 mg PO BID x 14 days
    • tets 500 mg QID x 14 days
  8. tx for late latent syphillis
    2.4 million units of Bicillin IM q week x 3 wks
  9. tx for pt with late latent syphilis who is allergic to penicillin
    • doxycycline 100 mg PO BID x 28 days
    • tetracycline 500 mg PO QID x 28 days
  10. tx for a pt with neurosyphillis
    3 - 4 million units Aqueous crystalline penicillin IV q 4 hrs (18 - 24 million units/day) x 10 - 14 days
  11. alternate tx for compliant pt who has neurosyphillis
    procain penicillin 2.4 million units PO QD x 1 plus probenecid 500 mg PO QD x 10 - 14 days
  12. how to treat a pregnant pt with neurosyphilliswho is allergic to penicillin
    desensitize the pt and then give penicillin
  13. what reaction can occur with penicillin
    jarish herxheimer Rx
  14. when do you follow up for primary and secondary syphillis
    6 - 12 months
  15. when do you follow up for latent syphilis
    6, 12, 24 months
  16. when do you follow up with HIV pts that have primary and secondary syphillis
    3, 6, 9, 12, 24 mths
  17. when do you follow up with HIV pts that have latent syphillis
    12, 18, 24 mths
  18. when do you follow up with a pt who has neurosyphillis
    q 6 mths
  19. tx for herpes
    • acyclovir 400 mg PO TID x 7 - 10 days
    •               200 mg PO 5x/day x 7 days
    • valcyclovir 1 gm PO BID x 7 - 10 days
    • famciclovir 250 mg PO TID x 7 - 10 days
  20. tx for HIV pt with herpes
    • acyclovir; 400 - 800 mg PO BID or TID
    • valacyclovir; 500 mg PO BID
    • famciclovir; 500 mg PO BID
  21. tx for herpes suppression
    • acyclovir; 400 mg PO TID x 5 - 10 days
    • famcyclovir; 500 mg PO BID x 5 - 10 days
    • valacyclovir; 1 g BID x 5 - 10 days
  22. tx for uncomplicated gonorrhea
    • ceftriaxone 250 mg x 1 dose IM plus
    • azithromycin 1 gm PO x 1 or
    • doxycycline 100 mg PO x 7 days
  23. tx for a pt with gonorrhea allergic to penicillin allergy
    azithromycin 2 g PO x 1 dose
  24. tx for pt with gonorrhea who is allergic to cephalosporins
    azithromycin 2 g PO x 1 dose
  25. how do you treat chlamydia for pts >= 8 yrs old or > 45 kg
    • azithromycin 1 g PO or
    • doxycycline 100 mg BID x 7 days
  26. tx for a pregnant women with chlamydia
    • azithromycin 1 g PO x 1 dose or
    • amoxicillin 500 mg PO TID x 7 days
  27. how to treat neonatal conjuctivitis
    erythromycin base or ethylsuccinate 50mg/kg/day divided into 4 doses daily x 14 days
  28. tx for LGV
    doxycycline 100 mg PO BID x 21 days
  29. tx for trichomonas vaginalis
    • metronidazole 2 g PO x 1 dose
    • tinidazole 2 g PO x 1 dose
  30. bacterial vaginosis tx
    • flagy 500 mg BID x 7 days
    • flagyl gel 0.75% x 5 days
    • clindamycin cream 2% x 7 days

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