NUR 4445 Preconception to Conception Chap 4-

NUR 4445 Preconception to Conception Chap 4- 6

• What is the primary complaint with trichomoniasis? How do we diagnose and treat it?

Patient teaching?

• Primary complaint

many asymptomatic but frothy, yellow-green vaginal discharge with a strong odor and accompanied genital itching and or burning.

• Diagnosis

motile organisms with flagella

• Treatment

metronidazole

• KEY teaching

sexually transmitted

• What is the primary complaint with chlamydia? How do we diagnose and treat it? Patient

teaching?

• Primary complaint

most asymptomatic but yellow discharge from vagina or urethra; painful or frequent urination.

• Diagnosis

culture - urine sample

• Treatment

Azithromycin; Doxycycline; Erythromycin base; Erythromycin ethylsuc- cinate; levofloxacin; oflaxcin. Partners must also be treated. 1 / 3

• KEY teaching

most common STD reported by CDC, PID and infertility if left untreated

• What is the primary complaint of Gonorrhea? How do we diagnose and treat it? Patient

teaching?

• Primary complaint

causes no symptoms or very mild symptoms - yellow vaginal discharge.

• Diagnosis

culture, similar to chlamydia

• Treatment

has become drug resistant; Azithromycin (2.5% resistant); Cefixime (0.8%); Ciprofloxacin (19.2%); penicillin (16.2); tetracycline (25.3%)

• KEY teaching

women with gonorrhea may think they have a minor UTI or vaginal infection. if left untreated can lead to PID or infertility

• What is the primary complaint with Herpes Genitalia, HSV? How do we diagnose and treat

it ? Patient teaching?

• Primary complaint

small red sores that can last up to 2-3 weeks. Swollen lymph glands; muscle aches; headache; fever; difficult urination. Occurs approximately 5 times a year but may or may not occur.

• Diagnosis

culture and presence of antibodies in serum.

• Treatment

anti-viral, both acute outbreak and for suppression.

• KEY teaching 2 / 3

there are two types - type 1 and type 2. No cure.

• What is the primary complaint for syphilis in the primary, secondary , and latent stages?

• Primary complaint

• Primary stage

first appears as painless chancre. Goes away without treatment in 3 to 6 weeks.

• Secondary stage

rash appears on soles of feet and palms, flat warts on vulva or flu-like symptoms.

• Latent infection

some have a rash and symptoms go away in weeks or months but the infection is not gone.

• How do we diagnose and treat syphilis? Patient teaching?

• Diagnosis

early and late stages. VDRL or RPR test (blood test)

• Treatment

penicillin

• KEY teaching

genital sores can make it easier to become infected with and transmit. Can be deadly.

• What is the primary complaint with HPV? How do we diagnose and treat it? Patient

teaching?

• Primary complaint
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