Term
|
Definition
Syphilis
(Primary)
Agent
Treponema Pallidum
Incubation
10-90 days
S/S
Painless Chancre
Lab
RPR/VDRL/FTA-ABS, Darkfield
Treatment
Penzathine Penicillin G, single dose
Significant Side Effects
Infants born w/congenital syphilis
Partner HX
3 mos plus duration of S/S |
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|
Term
|
Definition
Syphilis(Secondary)
Agent
Treponema Pallidum
Incubation
Wks to 12 Mos
S/S
Lesions on palm of hands and sole of feet
Lab
RPR
Treatment
Penzathine Penicillin G, single dose
Significant Side Effects
Partner HX
6 mos prior to onset of s/s |
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Term
|
Definition
Syphilis
(Early Latent)
Agent
Treponema Pallidum
Incubation
Wks to 12 Mos
S/S
No clinical signs
Lab
RPR
Treatment
Penzathine Penicillin G, single dose
Significant Side Effects
Partner HX
All contacts with in last year |
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|
Term
|
Definition
Syphilis
(Tertiary)
Agent
Treponema Pallidum
Incubation
12 Mos to Yrs
S/S
Imitator - usually symptoms involving cardivascular and CNS
Lab
RPR
Treatment
Penzathine Penicillin G, single dose
Significant Side Effects
Late cardiovascular syphilis, Death
Partner HX
spouse, children infected mothers |
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|
Term
|
Definition
Gonorrhea
Agent
Neisseria gonorrhoeae
Incubation
2-7 days
S/S
M-drip,burn, clap
F-vaginal discharge, burning sensation during urination
Lab
Smear/ gram-stain
Culture Thayer Martin agar
Treatment
125 mg Ceftriaxone intramuscular or Cefixime 400 mg single dose
Significant Side Effects
M- Sterility
F- Infant corneal ulceration , Sterility
Partner HX
60 days prior to onset of symptoms |
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|
Term
|
Definition
Chlamydia
Agent
Chlamydia trachomatis
Incubation
1-3 weeks (Avg 7-14 days)
S/S
M-opaque discharge, urethral itching
F-Discharge mucous & pus
Lab
- Tissue Cultures
- Cytology (Skin Scrapings-stain)
- Antigen Deteiction
Treatment
100 mg doxycyclin b.i.d 7 days
1g azithromycin single dose p.o.d
Significant Side Effects
Infertility & ectopic pregnancies
Partner HX
60 days prior to onset of symptoms |
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Term
|
Definition
NGU
Agent
Chlamydia trachomatis, ureaplasma urealyticum, HSV and Trichomonas vaginals
Incubation
1-5 weeks (avg 2-3 weeks) Some men asymptomatic for mos
S/S
urethral discharge, dysuria & urethral itching
Lab
clinical symptoms & laboratory findings
Treatment
1 g Azithromycine single dose or doxycycline for 7 days
Significant Side Effects
Partner HX
60 days prior to onset of symptoms |
|
|
Term
|
Definition
Herpes
Agent
Herpes simplex virus (HSV)
Incubation
2-12 days (Avg 6-7 days)
S/S
blisters on genitals or anywhere on body
Lab
serological test (viral isolation in tissue culture)
Treatment
none/ for symptoms 400 mg acyclovir t.i.d 7-10 days
Significant Side Effects
infants born w/blindness or CNS damage / retardation
Partner HX
seldom of value |
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|
Term
Genital Warts
(Condyloma)
|
|
Definition
Genital Warts
(Condyloma)
Agent
Human papillomavirus
Incubation
1-20 mos (Avg 2-3 mos)
S/S
Warts on genitalia
Lab
visual
Treatment
None / immune sys HPV vaccine for females
Significant Side Effects
Partner HX
n/a |
|
|
Term
|
Definition
Chancroid
Agent
Haempphilus ducreyi
Incubation
3-5 days max 14 days
S/S
small bump on genitals
Lab
visual/ culture from base of ulcer
Treatment
azithromycin, ceftriaxon, ciproflaxin and erythromycin
Significant Side Effects
lymph swelling /bubo fever, chills, ab pain, loss of appit, joint pain
Partner HX
2 mos / confirmed cases |
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|
Term
|
Definition
Pubic Lice
Agent
Phthrirus pubis
Incubation
3 wks
S/S
itching in genital area/
Lab
none
Treatment
pediculicide 1% permethrin or pyrethin shampoo
Significant Side Effects
Partner HX
n/a |
|
|
Term
|
Definition
LGV
Agent
Chlamydia trachomatis
Incubation
3-30 days
S/S
pimple like sores on sex organs
Lab
none
Treatment
100mg doxycycline p.o.d b.i.d -21 days
Significant Side Effects
Rectal stricture/swelling of sex organs LGV Elephantitis
Partner HX
2 mos / confirmed cases |
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Term
|
Definition
Granuloma
Inguienale
Agent
Calymmatobacterium Granulomatis
Incubation
1-16 Wks
S/S
small beefy red bumps genitals/anus
Lab
none
Treatment
azithromycin, erythromycin, doxycycline
Significant Side Effects
skin wears away
Partner HX
2 mos / confirmed cases |
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