Term
What is the BITest for Urethritis?
What is the MAT for the clap and Chlamydia? |
|
Definition
urithral swab for gram stain
MAT: urethral culture, DNA probe, or neucleic acid amplification |
|
|
Term
What drugs are given for Gonorrhea?
For Chlamydia? |
|
Definition
Gono: Cefixime or Ceftriaxone
Chlamydia: Azithromycin or Doxycycline |
|
|
Term
what is the most appropriate next step in managment for a pt that has symptoms of PID?
What is diagnostic tests for PID |
|
Definition
Pregnancy test first
Cervical swab for culture, DNA probe, nucleic acid amplification |
|
|
Term
What is the MATest for PID?
when should this be done? |
|
Definition
Laparoscopy
needed only if dx is unclear, symptoms persist despite therapy, recurrent episodes for unclear resions
Undiagnosed, Persistant, or recurrent |
|
|
Term
What is the Inpatient therapy for PID?
Out pt. |
|
Definition
Cefoxitin or Cefotetan
with doxycycline.
ceftriaxone with doxy (possibly with metronidazole) |
|
|
Term
What is the best initial Diagnostic test for genital Herpes simplex?
What is the MATest |
|
Definition
Tzanck prep
Viral culture is MAT |
|
|
Term
| What is the Diagnostic test for Syphilis? |
|
Definition
order syllogistic tests:
VDRL or RPR
and
FTA or MHA-TP
and
a dark field microspopy |
|
|
Term
| What is the Difference btw Condylomata lata and condylomata Acuminata |
|
Definition
CL is a wart found in Secondary Syphilis other signs of Primary syphilis (genital ulcer) should be present.
CL- genital warts caused by secondary syphilis smoother, moist, and bulky
Condylomata A: Coliflowerlike, dry and bluky in HPV |
|
|
Term
| what is the difference btw a Chancre v Chancroid? |
|
Definition
Chancre in Syphilis is painless
Chanceroid in H ducreyi is painful |
|
|
Term
what is the treatment for Syphilis?
What if allergic?
What about Tertiary syphilis? |
|
Definition
Single Intramuscular injection of Penicillin
if allergic oral doxy
Tertiary: IV pen
if allergic desensitize to penicillin |
|
|
Term
what is it called when there is fever and worse symptoms after treatment of syphilis?
What should be done about it |
|
Definition
Jarish-Herxheimer reaction
Give aspirin and antipyretics, it will pass |
|
|
Term
| What is the treatment for Scabies? |
|
Definition
Permethrin
if widespread Ivermectin |
|
|
Term
What is the BITest and results for people with confirmed cystitis?
MATest? |
|
Definition
BIT is urinalysis with more than 10 WBCs
urine culture |
|
|
Term
What is the treatment for cystitis?
if local resistance is low? |
|
Definition
Nitrofurantoin is the big one
TMP/SMZ if resistance is low
Cipro reserved to avoid resistance
Cefixime |
|
|
Term
what is dysureia?
What are the symptoms of Pylonephritis
What are the major diagnostic results? |
|
Definition
frequency, urgency, burning found in almost all UTI's
Dysuria with flank pain, high fever, occasionally abd pain
Urinalysis, increased WBCs
CT or sono is done to determine anatomic abnormalities |
|
|
Term
What is the treatment of pylonephritis?
What is the treatment of Acute prostitis? |
|
Definition
Ceftriaxone, ertapenem
Amoxicillin and gentamicine until culture results are known
Cipro (oral for outpt)
Same for acute prostitis |
|
|
Term
What is the treatment for Chronic prostatitis?
what is the the presentation for Perinephric abscess
What is the treatment? |
|
Definition
TMP/SMZ for 6-8 weeks
pyelonephritis that does not resolve
persistant fever after 5-7 days perform a sono or CT. must be drained |
|
|
Term
What is the BITest for HIV?
Confirmatory test?
What about in a child? ,6 mo |
|
Definition
BITest: ELISA
confirmed with Western blot
Infants dx with
PCR(viral load) or Viral culture |
|
|
Term
When is Viral load testing ( PCR-RNA level) used?
When is Viral resistance testing used (Genotyping) |
|
Definition
Measure responce to therapy
Detect tx falure (rising levels are bad)
Diagnose HIV in Babies
----
before giving meds; decrease likelyhood of med that virus is resistant |
|
|
Term
When should antiretrovirals be given in pregnancy?
What drug should be stayed away from? |
|
Definition
if already on retrovirals
if doing good CD4 & Viral load: give and stop after prego
if doing bad: hi viral load & low CD4
give and then continue after prego
Efavirenz |
|
|
Term
| what is the best initial drug regimen for HIV? |
|
Definition
emtricitabine
tenofovir
efavirenz
these are combined into one pill called Atripla
one a day pill |
|
|
Term
| At what CD4 and viral load should treatment of HIV be given? |
|
Definition
CD4 below 500
Viral load higher than 100,ooo |
|
|
Term
What is the CD4 count and Viral load that dictate cesarean delivery?
what drug is given during delivery and x6 mo after |
|
Definition
CD4 <350
Viral Load >1,ooo
zidovudine |
|
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