Maternity Ch. 5

  • ^^gonorrhea is why we give babies erythromycin-- ophthalmia neonatorum; it can lead to blindness^^

  • trichomoniasis-- not always sexually transmitted

    • protozoan; little swimmer under the microscope

  • @@columnar epithelial cells are sensitive to invasion@@ (within female anatomy that predisposes them to STIs)

  • PID-- pelvic inflammatory disease

  • syphilis

    • primary-- chancre on the place of bacterial entrance
    • secondary-- maculopapular rash, sore throat, lymphadenopathy, flu-like symptoms
    • latent-- absence of manifestations, positive serology
    • tertiary-- life-threatening heart disease, neurologic disease

  • barriers to condom use

    • decreased sexually pleasure
    • deceased spontaneity of sexual activity
    • “unmanly”

  • prevent vaginitis

    • avoid douching

  • chlamydia is the most common bacterial STI

    • chlamydia can infect the throat

  • gonorrhea is the secondly most common infection in the USA; bacterial

    • ^^gonorrhea is why we give babies erythromycin-- ophthalmia neonatorum; it can lead to blindness^^

  • BV

    • stale fish odor

  • P-LI-SS-IT model

    • Permission
    • Limited Information
    • Specific Suggestion
    • Intensive Therapy

  • genital herpes

    • once you have it, you got
    • recurrent infection
    • tingling, itching, localized pain
    • the first infection is usually the most severe and prolonged

  • HPV

    • most common viral infection in the USA
    • genital warts or condylomata
    • get vax
    • pap smears + HPV test
    • linked to cervical cancer

  • hep A spreads via the GI tract

  • hep B spreads via saliva, blood, semen, menstrual blood, and vaginal secretions

  • ectoparasitic infections

    • scabies
    • intensely pruritic dermatitis with lesions
    • pubic lice
    • pruritus with lice or nits
    • three-tiered approach:
    • eradicated infestation
    • remove nits
    • prevent spread or recurrence

  • HIV

    • mostly exposed via sexual intercourse
    • %%HAART%%
    • %%Highly Active Anti-Retroviral Therapy%%