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