Cheatography
https://cheatography.com
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
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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 |
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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 |
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