CASE FILES
Thick white discharge and intense itching, pH< 4.5
What is Candida vulvovaginitis?
What Minors >/= 12 yo can consent to
What is STI testing / treatment, emergency contraception, and pregnancy related care?
First line treatment for Bacterial Vaginosis ( BV) ?
What is Metronidazole 500mg po BID x 7 days
Most common reportable STI in the US
What is Chlamydia?
Other conditions that should be r/o in a patient w/ vaginitis
What are STI co-infections and pregnancy?
Thin, grey discharge, fishy odor and pH >4.5
What is Bacterial vaginosis?
30yo F, chlamydia+,partner won't come to ED
What is Expedited partner therapy?
Painful ulcers + dysuria treatment
What is Acyclovir or valacyclovir?
Treatment for organism that causes a painless chancre
What is Penicillin G benzathine 2.4 million units IM once ?
Diagnostic test for chlamydia, GC, trich
What is NAAT?
Frothy green discharge and 'strawberry cervix'
What is Trichomoniasis?
22 yo victim of assault refuses police contact. Still treat?
What is Yes - offer STI treatment and PEP w/in 72hrs post exposure w/o police involvement
Med used for pregnant Chlamydia+ patients
Azithromax 1 g po x 1
Is EPT treatment recommended for Trichomonas?
What is yes?
Treatment and frequency for recurrent candidiasis
What is Fluconazole q 3 days x 3, then weekly x 6 months?
Lower abd pain, fever and CMT
What is Pelvic Inflammatory Disease (PID) ?
These reportable STIs require provider follow up
What are GC, Chlamydia , Syphilis and HIV ?
Name one alternative treatment for PID
What is (are): Clindamycin + Gentamycin
Ampicillin-sulbactam + Doxycycline
Azithromycin + Metronidazole
Associated conditions that should be considered w/ vulvovaginal candidiasis
What are Diabetes and immunosuppression, antibiotics, pregnancy, non-albicans candida
Associated complications of untreated Trichomoniasis
What is inc risk for HIV and pregnancy complications?
RUQ pain + PID. Dx?
What is Perihepatitis, or Fitz-Hugh-Curtis syndrome
14 yo F w/ Chlamydia, partner is 22yo
What is Mandatory reporting ( statutory rape )?
Name 3 reasons for PID admission
What are TOA, pregnancy, sepsis , vomiting, poor f/u ?
Which antibiotic prophylaxis dec bacterial STI among MSM and transgender women
What is Doxycycline ?
Name of KOH test for BV?
What is the Whiff test (KOH + d/c='fishy odor') ?