Vaginal Discharge And STD

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• Asymptomatic • Symptomatic Neurosyphilis – Meningovascular syphilis - 4-7 4 7 yrs after infection • Stroke, cranial nerve abnormalities – Paraenchymatous syphilis • Decades after infection • Progressive dementia, personality changes • Sensory ataxia, loss of proprioception, lighting pains, y , p p p , g g p , autonomic dysfunction, optic atrophy, disturbed sensation
Diagnosis • Dark field microscopy • Antibody levels – RPR or VDRL - nontreponemal tests • Titers useful to monitor response to therapy – FTA-ABS or TPHA - treponemal p tests - confirmatory • LP - mononuclear pleocytosis, increased protein value; VDRL 30-70% sensitive in spinal fluid
Page 1 and 2:
Vaginal Discharge Discharge and STD
Page 3 and 4:
Epidemiology • Lifetime risk for
Page 5 and 6:
• Dx: Vulvovaginal Candidiasis -
Page 7 and 8: Treatment • Uncomplicated infecti
Page 9 and 10: Bacterial Vaginosis • Replacement
Page 11 and 12: • Diagnosis g - Hx and PE: BV •
Page 13 and 14: • Treatment BV - Metronidazole 50
Page 15 and 16: Trichomonas Trichomonas Vaginalis
Page 17 and 18: • Diagnosis Trichomonas Trichomon
Page 19 and 20: • Treatment - Metronidazole Trich
Page 21 and 22: Atrophic Vaginitis • Dryness and
Page 23 and 24: • Clinical - History - Pelvic exa
Page 25 and 26: Chlamydia • Chlamydia trachomatis
Page 27 and 28: • Diagnosis Chlamydia - Nucleic a
Page 29 and 30: N. Gonorrhea Gonorrhea • Clinical
Page 31 and 32: N. Gonorrhea Gonorrhea • Treatmen
Page 33 and 34: Pelvic Pelvic Inflammatory Disease
Page 35 and 36: Pelvic Pelvic Inflammatory Disease
Page 37 and 38: • Treatment - Outpatient PID •
Page 39: Anogenital HPV • Single or multip
Page 42 and 43: • Home treatment Imiquimod Imiqui
Page 44 and 45: • TCA Trichloroacetic Trichloroac
Page 46 and 47: Clinical Clinical Manifestations
Page 48 and 49: Herpes
Page 50 and 51: Treatment • Primary y infection -
Page 52 and 53: Syphilis • Sexually y transmitted
Page 54 and 55: Chancre
Page 56 and 57: Latent Latent Syphilis • Asymptom
Page 60 and 61: Treatment • Primary, y, secondary
Page 62 and 63: Screening Guidelines • Screen for
Page 64: Screening Continued • HIV screeni
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Vaginal Discharge And STD

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