Chlamydia

• Treatment

• Azithromycin 1g 

or

• Doxycycline 100mg BID X7D

Gonorrhea 

• Treatment
• Allergy

• Ceftriaxone 250mg IM

or

• Azithromycin 2g PO (test in 1 week)

Syphilis

• Treatment
• Allergy

• Benzathine Pen G 2.4 million units IM
• Doxy X14D

Herpes 

• First episode Treatment
• Second occurence

• Acyclovir X 7-10D
• Acyclovir X5D

Trichomoniasis

• Treatment

• Metronidazole 2g X1

or

• Metronidazole 500mg BID X7d

Bacterial Vaginosis

• Treatment

• Metronidazole 500mg PO BID X7D

or

• Topical gell PV

STI

• Discharge

• Gonorrhea

• Abdominal pain, abnormal bleading

• Pelvic imflammatory disease

• Rash, fever, fatigue, anorexia

• Syphilis

• Flu-like prodrone
• Cluster of painfull vessicles

• Genetal herpes (HSV)

• Cauliform lesions

• Genetal warts

• Genital ulcer with poorly defined edge

• Chanchord

• Fishy-smelling vaginal discharge

• Bacterial vaginosis

PID

• Diagnosis

• Pain + WBC in secretions/high ESR or CRP

Tertiary/Latent syphilis

• Treatment
• Allergy

• Penicillin G Qw X3W
• Doxy X28D

Bacterial vaginosis diagnosis

(3/4)

• White discharge
• Fish
• cells under microscope
• PH >4.5

PID

• Treatment

• Cefox/Cefotetan + Doxy