STDS BACTERIAL A. SYPHILIS:-sexual & close physical contact, kissing; 4 stages a.

Primary- 10-90dys after exposurechancre, painless; secondary-6-6mths, malaise, low-grade fever, headache, muscle aches; Latency stageno symptoms, not infectious except mother-fetus (1yr after infection); tertiary phase- 4-20yrs-benign lesions (gummas-skin, mucous membranes, bones), cardiovascular probs- aortic aneurysms, aortic valve dx; Neurosyphilis-meningitis, hearing gloss, paresis) b. Diagnostic tests: specimen chancre examine darkfield microscope; Venereal Disease Research Laboratory (VDRL) & Rapid Plasma Reagin Test- tests antigen-antibody reactionalso monitor tx, if positive Fluorescent treponemal antibody absorption (FTAABS) to confirm infection once positive, always positive. c. Tx: Penicillin G-IM B. GONORRHEA- can cause PIDtest for other STDs a. s/s- yellow, green foul smelling vaginal discharge, urinary frequency, dysuria; culture discharge for gram staining b. Ceftrisxone, or doxyall partners must be treated C. CHLAMIDEA- most common s/s similar to gonorrhea; culture & gram stain to r/o gonorrhea PID females, infects epididymis malesinfertility. a. s/s: females, bleeding between periods & after intercourse, pain intercourse b. Tx= azithromax for all partners D. NURSING FOR ALL STDs:-teach no sex till tx complete, rescreen 3-4mnths after tx cause risk PID. E. PID:-major cause infertility and ectopic pregnancy due to STDs a. s/s: lower ab pain, fever & chills, hunched-over gait, b. Tx: antibiotics, adequate rest and fluids, no sex, check temp 2xs dy, return doctor 4872hrs, then 1-2wks

STDs VIRAL: A. GENTIAL HERPES: - incurable, HSV-1/2, can be asymptomatic or itchy, tingly 1-2dys before outbreak of lesions which rupturepainfulheadaches, fever, general malaise, lesions resolve 2-6wks, reoccurrence due to emotional stress, can shed virus if no symptoms a. Tx: Acyclovir, Famciclovir to lessen frequency & speed up healing b. Teach no sex when lesions, use condoms at all times, can be transmitted to fetus even if no lesions B. GENITAL WARTS:-HPV infection, cauliflower wart, linked cervical cancer a. Tx: removal warts via chemical or ablative methods 80-90% Trichloroacetic acid (TCA)