Thin Yellow Frothy Trich Discharge Characteristics HSV- 1 Most common cause of genital herpes in younger Acyclovir or Valacyclovir Tx of HSV White and creamy or clear Normal Vaginal Discharge Ceftriaxone 500mg IM single dose (If person weighs <150 kg. If >150 kg, use 1g Ceftriaxone) + doxy 100mg po BIDx7days (preferred) OR Azithromycin 1g po in a single dose Tx for Gonorrhea Azithromycin 1g in a single dose OR Amoxicillin 500mg po TIDx7days Tx for Chlamydia in Pregnancy Exam finding of Trichomonas Wipe excess mucus, then into cervix/posterior cul-de-sac 30 s How to swab for ICNG Benzathin Penicillin G 2.4million U IM Tx of Syphilis Metronidazole 500mg BID x 7 days (Decreased positive rates 1 month out by 50% compared to 2g regimen) Tx for Trichomonas Yes Should STI Screening be offered at every annual visit No Should all pregnant women be screened for HSV Vaginal Walls Where to sample for Wet Prep Painful genital ulcer, H. Ducreyi Chancroid Supportive Tx of Hep B + HSV1 PCR Neg HSV1 IgG Pos HSV2 IgG Non Primary First Outbreak 5- flucytosine Boric Acid Non- albicans Treatment +HSV2 PCR +HSV2 IgG Recurrent HSV Thin, gray, fishy odor BV Discharge Characteristics Interferon + Ribavirin Hep C Initial Treatment Cervical Ectropion Culture + Weekly azole treatment x 6mo Recurrent Yeast Tx Burning Thick, white Can be normal appearing Yeast Infection Discharge Characteristics Doxy 100mg BIDx 7d (preferred) OR Azithromycin 1g single dose OR Levofloxacin 500mg PO once daily x 7 days Treatment for Chlamydia Cervical Herpes Ceftriaxone Doxycycline Metronidazole PID Tx +HSV1 PCR Neg HSV1 IgG Primary HSV Outbreak Metrogel BID x 16 weeks Recurrent BV Treatment Doxycycline 100 mg orally 2 times/day for 7 days + moxifloxacin 400 mg orally once daily for 7 days Mycoplasma Tx Thin Yellow Frothy Trich Discharge Characteristics HSV- 1 Most common cause of genital herpes in younger Acyclovir or Valacyclovir Tx of HSV White and creamy or clear Normal Vaginal Discharge Ceftriaxone 500mg IM single dose (If person weighs <150 kg. If >150 kg, use 1g Ceftriaxone) + doxy 100mg po BIDx7days (preferred) OR Azithromycin 1g po in a single dose Tx for Gonorrhea Azithromycin 1g in a single dose OR Amoxicillin 500mg po TIDx7days Tx for Chlamydia in Pregnancy Exam finding of Trichomonas Wipe excess mucus, then into cervix/posterior cul-de-sac 30 s How to swab for ICNG Benzathin Penicillin G 2.4million U IM Tx of Syphilis Metronidazole 500mg BID x 7 days (Decreased positive rates 1 month out by 50% compared to 2g regimen) Tx for Trichomonas Yes Should STI Screening be offered at every annual visit No Should all pregnant women be screened for HSV Vaginal Walls Where to sample for Wet Prep Painful genital ulcer, H. Ducreyi Chancroid Supportive Tx of Hep B + HSV1 PCR Neg HSV1 IgG Pos HSV2 IgG Non Primary First Outbreak 5- flucytosine Boric Acid Non- albicans Treatment +HSV2 PCR +HSV2 IgG Recurrent HSV Thin, gray, fishy odor BV Discharge Characteristics Interferon + Ribavirin Hep C Initial Treatment Cervical Ectropion Culture + Weekly azole treatment x 6mo Recurrent Yeast Tx Burning Thick, white Can be normal appearing Yeast Infection Discharge Characteristics Doxy 100mg BIDx 7d (preferred) OR Azithromycin 1g single dose OR Levofloxacin 500mg PO once daily x 7 days Treatment for Chlamydia Cervical Herpes Ceftriaxone Doxycycline Metronidazole PID Tx +HSV1 PCR Neg HSV1 IgG Primary HSV Outbreak Metrogel BID x 16 weeks Recurrent BV Treatment Doxycycline 100 mg orally 2 times/day for 7 days + moxifloxacin 400 mg orally once daily for 7 days Mycoplasma Tx
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Trich Discharge Characteristics
Thin
Yellow
Frothy
Most common cause of genital herpes in younger
HSV-1
Tx of HSV
Acyclovir
or
Valacyclovir
Normal Vaginal Discharge
White and creamy or clear
Tx for Gonorrhea
Ceftriaxone 500mg IM single dose (If person weighs <150 kg. If >150 kg, use 1g Ceftriaxone)
+ doxy 100mg po BIDx7days (preferred)
OR Azithromycin 1g po in a single dose
Tx for Chlamydia in Pregnancy
Azithromycin 1g in a single dose OR Amoxicillin 500mg po TIDx7days
Exam finding of Trichomonas
How to swab for ICNG
Wipe excess mucus, then into cervix/posterior cul-de-sac 30 s
Tx of Syphilis
Benzathin Penicillin G 2.4million U IM
Tx for Trichomonas
Metronidazole 500mg BID x 7 days (Decreased positive rates 1 month out by 50% compared to 2g regimen)
Should STI Screening be offered at every annual visit
Yes
Should all pregnant women be screened for HSV
No
Where to sample for Wet Prep
Vaginal Walls
Chancroid
Painful genital ulcer,
H. Ducreyi
Tx of Hep B
Supportive
Non Primary First Outbreak
+ HSV1 PCR
Neg HSV1 IgG
Pos HSV2 IgG
Non-albicans Treatment
5-flucytosine
Boric Acid
Recurrent HSV
+HSV2 PCR
+HSV2 IgG
BV Discharge Characteristics
Thin, gray, fishy odor
Hep C Initial Treatment
Interferon + Ribavirin
Cervical Ectropion
Recurrent Yeast Tx
Culture +
Weekly azole treatment x 6mo
Yeast Infection Discharge Characteristics
Burning
Thick, white
Can be normal appearing
Treatment for Chlamydia
Doxy 100mg BIDx 7d (preferred) OR Azithromycin 1g single dose OR Levofloxacin 500mg PO once daily x 7 days
Cervical Herpes
PID Tx
Ceftriaxone
Doxycycline
Metronidazole
Primary HSV Outbreak
+HSV1 PCR
Neg HSV1 IgG
Recurrent BV Treatment
Metrogel BID x 16 weeks
Mycoplasma Tx
Doxycycline 100 mg orally 2 times/day for 7 days
+ moxifloxacin 400 mg orally once daily for 7 days