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Cheatography

STIs Cheat Sheet (DRAFT) by

STIs - BV, trichomoniasis, gonorrhea, chlamydia, syphilis, PID

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Bacterial Vaginosis (BV)

Reduction in lactob­acilli causes an increase in Gardne­rella vaginalis
Malodorous discharge worsened with sex
Positive whiff-­amine test - fishy odor of vaginal discharge w KOH
Clue Cells
Metron­diazole 500 mg PO BID x7d
Tinidazole 2 g PO qd for 2d
BOTH pregnancy safe
Recurrent BV ...rule out HIV
Vitamin D 1,000 to 2,000 IU daily

Chlamydia

Most asympt­omatic in men & women
Most common in pt's younger than 25 yo
Serious sequelae ...PID, ectopic pregnancy, infert­ility, pelvic pain
cervical motion tenderness
mucopu­rulent cervicitis
friable cervix
retest all pts 3 months after abx
NAAT most sensitive {{Nl}} POC testing
Doxycyline 100 mg PO BID x7d
Levofl­oxacin 500 mg PO qd x7d
Azithr­omycin 1 g