Sexually transmitted diseases: Difference between revisions

Revision as of 20:10, 10 September 2020

Background

STD Prevalence: HPV > HSV-2 > Trichomonas > Chlamydia > HIV > HBV > Gonorrhea > Syphilis
STD New infections: HPV > Chlamydia > Trichomonas > Gonorrhea > HSV-2 > Syphilis > HIV > HBV ^[1]

Clinical Features

STD Visual Diagnosis (Male)

Chancroid
HSV
Primary Syphilis
Painless genital ulcer from lymphogranuloma venereum
Inguinal femoral lymphadenopathy (bilateral) from lymphogranuloma venereum

STD Visual Diagnosis (Female)

Chancroid

Differential Diagnosis

Sexually transmitted diseases

Evaluation

Management

It is important to treat sexual partners for all STDs
- See Expedited Partner Therapy

Disposition

External Links

References

↑ CDC: STI Fact sheet 2013

Authors:

[1] CDC: STI Fact sheet 2013

[1]

@@ Line 1: / Line 1: @@
 ==Background==
-It is important to treat sexual partners for all STDs
+*STD Prevalence: [[Human papillomavirus|HPV]] > [[Human papillomavirus|HSV-2]] > [[Trichomonas]] > [[Chlamydia trachomatis|Chlamydia]] > [[HIV]] > [[HBV]] > [[Neisseria gonorrhoeae|Gonorrhea]] > [[Syphilis]]
-==Visual Diagnosis==
+*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>
+==Clinical Features==
 {{Genital images male}}
 {{Genital images female}}
-==[[Urethritis]]/[[Cervicitis]]==
+==Differential Diagnosis==
-{{Cervicitis Urethritis Antibiotics}}
+{{STD DDX}}
-==[[GC]]/[[Chlamydia]] Conjunctivitis==
-{{GC Conjunctivitis Treatment}}
-==[[Trichomonas vaginalis]]==
-{{Trichomonas antibiotics}}
-==[[Bacterial Vaginosis]]==
-{{BV Metronidazole Adult}}
-{{BV Clindamycin Adult}}
-==[[Lymphogranuloma Venereum]]==
-{{LGV 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===
+==Evaluation==
-*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>
-==[[HSV|Herpes]]==
+==Management==
-{{Herpes antiviral treatment}}
+*It is important to treat sexual partners for all STDs
+**See [[Expedited Partner Therapy]]
-==[[Epididymitis]]/[[Epididymorchitis]]==
+==Disposition==
-{{Epididymitis antibiotics}}
-==[[Proctitis]]==
-{{Proctitis antibiotics}}
-==[[PID]]==
-{{PID antibiotics}}
 ==See Also==
+*[[Human Papillomavirus (HPV)]]
 *[[Pelvic Inflammatory Disease (PID)]]
 *[[Ulcerative STDs]]
 *[[Penile diagnoses]]
 *[[Pelvic pain]]
+*[[Expedited Partner Therapy]]
+==External Links==
-== Source  ==
+==References==
 <references/>
-[[Category:GU]] [[Category:ID]] [[Category:OB/GYN]]
+[[Category:Urology]] [[Category:ID]] [[Category:OBGYN]]