Term
|
Definition
Metronidazole (Flagyl) 500 mg po BID x 7 days
OR
Metronidazole 2 g po one time dose. Higher recurrence rate.
OR
Clindamycin 300 mg po BID x 7 days |
|
|
Term
| Bacterial Vaginosis in pregnant woman tmt: |
|
Definition
- Metronidazole 250 mg po tid x 7 d
- Clindamycin 300 mg po bid x 7 d |
|
|
Term
| Candidal Vaginitis treatment: |
|
Definition
| Diflucan (Fluconazole) 150 mg po ONCE |
|
|
Term
|
Definition
Metronidazole 2 grams po once.
Treat partner also.
Topicals do NOT work for Tricho. |
|
|
Term
| Atrophic Vaginitis treatment: |
|
Definition
- HRT oral: Premarin 0.3-1.25 mg/d po
- Topical estrogen (Vagifem, Premarin, Estrace) 1/2 to 1 applicator full (2-4 grams) intravaginally QHS x2 weeks, and then twice a week thereafer |
|
|
Term
| The only antibiotic that works for Gonorrhea: |
|
Definition
|
|
Term
|
Definition
- Cephtriaxone 250 mg IM + Azithromycin 1000 mg PO once
OR
- Cephtriaxone 250 mg IM once + Doxycycline 100 mg PO BID x 7 days
First one is preferred, Kested never gives Doxycyline to women b/c so bad if they are pregnant |
|
|
Term
|
Definition
- Azithromycin (Zithromax) 1 gm (1000 mg) po once
OR
- Doxycylcine (Doryx, Bio-Tab, Vibramycin) 100 mg po bid x 7 days |
|
|
Term
|
Definition
Imiquimod (Aldara)
Put it on at night, wipe it off in morning or in 8 hours. Wait 2 more days and then do it again. Do this for 4 weeks. If this doesn’t work can try trichloric acetic acid. Even if warts are cosmetically gone, they can still shed the virus and be sexually transmitted.
Try not to get Aldara to touch rest of skin> inflammation and burning. Put on aldara every other night. |
|
|
Term
| Tmt for atrophic vaginitis: |
|
Definition
|
|
Term
| what age group is HPV vaccine indicated for? |
|
Definition
- 11-12 y/o
FDA has approved HPV vaccine for ages 9-26. These are the ages that Medicare will cover. If pt has to pay it on their own, send them to the Health Department and it will be a little cheaper.
Each injection is $120 and you have an office visit and injection fee, so can be about $250 a shot without insurance. |
|
|
Term
| Treponema pallidum treatment: |
|
Definition
| Benzathine penicillin G, 2.4 million units IM, one dose |
|
|
Term
| Lichen sclerosis acute and chronic treatments: |
|
Definition
- acute: Clobetasol proprionate 0.05%
- chronic: Testosterone proprionate 2% |
|
|
Term
| main presenting symptoms of lichen sclerosis: |
|
Definition
- intense pruritis
- dyspareunia |
|
|
Term
| Squamous cell hyperplasia presenting symptom: |
|
Definition
- itching
PE: elevated localized lesions, white and red plaques, weeping crusts
Tmt:
- steroids
Clobetasol proprionate 0.05% bid unitil symptoms resolve and then diff less potent topical steroid |
|
|
Term
| presenting symptoms of invasive cancer of the vulva: |
|
Definition
- PRURITIS
- MASS
- pain
- bleeding
- ulceration
- discharge |
|
|
Term
|
Definition
|
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