Sexually transmitted diseases: Difference between revisions

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==Background==
==Background==
*STD Prevalence: [[Human papillomavirus|HPV]] > [[Human papillomavirus|HSV-2]] > [[Trichomonas]] > [[Chlamydia trachomatis|Chlamydia]] > [[HIV]] > HBV > [[Neisseria gonorrhoeae|Gonorrhea]] > [[Syphilis]]
*STD Prevalence: [[Human papillomavirus|HPV]] > [[Human papillomavirus|HSV-2]] > [[Trichomonas]] > [[Chlamydia trachomatis|Chlamydia]] > [[HIV]] > [[HBV]] > [[Neisseria gonorrhoeae|Gonorrhea]] > [[Syphilis]]
*STD New infections: HPV > Chlamydia > Trichomonas > Gonorrhea > HSV-2 > Syphilis > [[HIV]] > HBV <ref>[http://www.cdc.gov/std/stats/sti-estimates-fact-sheet-feb-2013.pdf CDC: STI Fact sheet 2013]</ref>
*STD New infections: HPV > Chlamydia > Trichomonas > Gonorrhea > HSV-2 > Syphilis > [[HIV]] > HBV <ref>[http://www.cdc.gov/std/stats/sti-estimates-fact-sheet-feb-2013.pdf CDC: STI Fact sheet 2013]</ref>
*It is important to treat sexual partners for all STDs
**See [[Expedited Partner Therapy]]


==Visual Diagnosis==
==Clinical Features==
{{Genital images male}}
{{Genital images male}}
{{Genital images female}}
{{Genital images female}}


==[[Bacterial Vaginosis]]==
==Differential Diagnosis==
{{BV Antibiotics}}
{{STD DDX}}


==Evaluation==


==[[Cervicitis]]==
==Management==
{{Cervicitis Urethritis Antibiotics}}
*It is important to treat sexual partners for all STDs
 
**See [[Expedited Partner Therapy]]
==[[Epididymitis]]/[[Epididymorchitis]]==
{{Epididymitis antibiotics}}
 
 
==[[GC]]/[[Chlamydia]] Conjunctivitis==
 
{{GC Conjunctivitis Treatment}}
 
 
==[[HSV|Herpes]]==
{{Herpes antiviral treatment}}
 
 
 
==[[Lymphogranuloma Venereum]]==
{{LGV antibiotics}}
 
 
==[[Proctitis]]==
{{Proctitis antibiotics}}


 
==Disposition==
==[[PID]]==
{{PID antibiotics}}
 
 
==[[Syphilis]]==
===Early Stage===
This is classified as primary, secondary, and early latent syphilis less than one year.
 
Treatment Options:
 
{{Early Syphilis Treatment}}
 
===Late Stage===
Late stage is greater than one year duration, presence of gummas, or cardiovascular disease
 
Treatment Options:
 
{{Late Syphilis Treatment}}
===Neurosyphilis===
There are 3 Major options with none showing greater efficacy than others:
 
{{Neurosyphilis Treatment }}
 
*Desensitization to the penicillin allergy is still the preferred method of treatment for patients with early and late stage disease (especially during pregnancy)
 
===Pregnancy===
*[[Penicillin]], dosage depends on stage <ref>Mackay G. Chapter 43. Sexually Transmitted Diseases & Pelvic Infections. In:DeCherney AH, Nathan L, Laufer N, Roman AS. eds. CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e. New York, NY: McGraw-Hill; 2013</ref>
 
 
==[[Trichomonas vaginalis]]==
{{Trichomonas antibiotics}}
 
 
==[[Urethritis]] (male)==
{{Male urethritis treatment}}


==See Also==
==See Also==
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*[[Pelvic pain]]
*[[Pelvic pain]]
*[[Expedited Partner Therapy]]
*[[Expedited Partner Therapy]]
==External Links==


==References==
==References==

Revision as of 20:10, 10 September 2020

Background

Clinical Features

STD Visual Diagnosis (Male)

STD Visual Diagnosis (Female)

Differential Diagnosis

Sexually transmitted diseases

Evaluation

Management

Disposition

See Also

External Links

References