S/S of PID
severe abdominal and pelvic pain and fever; foul discharge
PID
inflammation in the pelvic cavity
-can go away or can come back
Candidiasis
a yeast infection caused by a change in the vaginal PH
bacterial vaginosis
occurs when normal lactobacillus in the vagina is replaced by mycoplasma homins or anaerobic bacteria
-treated with flagyl
gonorrhea
caused by a bacterium that grows easily in warm moist environments of the reproduction tract.
-infected pregnant female can pass it to the baby
HSV2 (means genital herpes)
highly contagious.
- lies dormant- needs protection
HSV2 treatment
no cure; acyclovir or valacyclovir can be given to lesson the symptoms
Human papilloma virus (HPV)
high risk HPV has been known to the cervical, anal, vaginal, vulvar, penile, and oropharyngeal cancer.
-just know there's different vaccines (strains)
risk factor for sexually transmitted infections
women ages 15-24 are diagnosed with STI'S at a much higher rate than men.
3 stages of syphilis
- primary- chance (painless, ulcer) very contagious
- secondary- possible non-itchy skin rash (often on palms and soles) and blood tests
- teritary- develop gumma (soft tumor occurring anywhere on body) neurologic symptoms (neurophylis)
a young boy presents to the emergency room after a soccer match , he is crying in pain. what diagnosis comes to mind?
testicular torsion, medical emergency
patient has sudden scrotol pain
testicular torsion
why is it important for Pap smears ?
cervical cancer
testicular cancer
men with this are able to bank their sperm
which elevated lab value would you look for in prostate cancer
LSA
patient comes in with purulent vaginal discharge , what comes to mind?
PID
PATIENT has COPD, on oxygen, diabetic, BPH which of the following should you address first?
respirations @32
syphilis - what would you see?
peeling skin on palms and soles, lesions
prostate cancer
slow growing cancer
antibiotics for clamydia- education
take as prescribed and avoid sex
with BPH, what would you want to avoid ?
avoid alcohol, caffeine, no smoking
in syphilis stage 3 (tertiary) , what would you see?
gummas would be seen
what should never be given together?
viagra/ nitro
patients diagnosed with syphilis, who do you notify?
local health
peyronis
curved penis
HSV
mom has it and can be transferred to baby and sexual intercourse or kissing
HSV, where would you see lesions ?
genitals, oral, eyes, groin
vasectomy, are they reversible ?
yes
post op education for a vasectomy
no sex (can still get women pregnant, you need a negative sperm count) , breathable briefs
fishy ocular = BV
which med is given for this?
metrodizol (flagyl)
patient taking Cialis, what are they at risk for?
presumption
-they take this because of rectile dysfunction
should you wear gloves to apply cream?
yes
how long to be considered true infertility?
12 months
as men age, what happens to their testosterone ?
testosterone drops, sex desire lengthens
neurosyphilis side effects
blindness, hallucinations, dementia
primary syphilis first stage is considered what?
painless
STI/STD- transmitted how?
unprotected sex, mom to baby, bodily fluids, oral sex
HPV vaccine
9 years old- three vaccines- should still go for annual Pap smear
orecorectomy
removal of testes
- can bank sperm
- educate on supportive briefs
- if circumsized= more at risk for penil cancer
prioprism
prolonged erection
BPH
enlarged prostate
testicular torsion
twisting of penis