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SEXUALLY TRANSMITTED DISEASE

SEXUALLY TRANSMITTED DISEASE. These are agroup of infectious diseases transmit by sexual relationships. GONORRHOOEA. CAUSATIVE ORGANISMs:- Caused by gram(-) ve diplococcous NEISSERIA GONORRHOEAE. CLINICAL PICTURE. URETHRITIS ,CERVISITES ,BARTHOLINITIS, PID

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SEXUALLY TRANSMITTED DISEASE

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  1. SEXUALLY TRANSMITTED DISEASE These are agroup of infectious diseases transmit by sexual relationships

  2. GONORRHOOEA CAUSATIVE ORGANISMs:- Caused by gram(-)vediplococcous NEISSERIA GONORRHOEAE

  3. CLINICAL PICTURE URETHRITIS ,CERVISITES ,BARTHOLINITIS, PID * DIAGNOSIS BY CULTURE

  4. TREATMENT PENICILLIN , IF PATIENT SENSITIVE OR RESISTANT TO PENICILLIN GIVE CEFTRIAXONE

  5. CHLAMYDIA TRACHOMTIS

  6. C.P. AND COMPLICATIONS URETHRITIS PID ,INFERTILITY , IUFD , ABORTION , PROM , TRNSMITTED TO NEONATE AT TIME OF DELIVERY CAUSE NEONATAL CONJUNCTIVITIS * DIAGNOSIS : TISSUE CULTURE SHOW THE INTRACELLULAR ORGANISM AND BY SEROLOGICAL TESTS *TREATMENT : TETRACYCLINE ,ERTHROMYCIN

  7. TRICHOMONAS VAGINALIS • CAUSED BY FLAGELLATED PROTOZOON T.VAGINALIS • C.P. VAGINAL DISCHARGE ,VULVAL ITCHING,DYSURIA • DIGNOSIS : CULTURE • TTT : METRONIDAZOLE

  8. BACTERIAL VAGINOSIS • CAUSED BY : GARDNERELLA VAGINALIS • C.P : OFFENSIVE , FISHY SMELLING VAGINAL DISCHARGE • DIAGNOSIS : • 1-FISHY OFFENSIVE SMELL WHEN ADDING 10% POTASIUMHYDROXIDE • 2-PH OF VAGINAL FLUID ISMORE 4.5 • 3- CLUECELLS ON MICROSCOPY • TREATMENT : METRONIDAZOLE

  9. SYPHILIS • CAUSED BY : TREPONEMA PALLIDUM • C.P: • 1- Primary s.(i.p.=9-90 days) is solitary .painless ulcer on cx, vagina called chancre • 2- secondary s. (6 weeks-6 mon.) : arise of CONDYLOMA LATA , IS CUTANOUS LESIONS • 3- GUMMA : NECROTIC ULCER , CARDIC AFFECT , NEURO S. • DIAGNOSIS : • 1- DARK FIELD MICROSCOPY= SHOW SPIROCHAETES • 2.SEROLOGY= ICLUDE VENEREAL DISEASE RESEARCH LABORATRY(VDRL) ,RAPID PLASMA REAGIN(RPR) • 3-SPECIFIC TESTS :AS TREPONEMA PALLIDUM IMMOBILIZATIO TEST (TPI) • TTT: BENICILLINE( PROCAINE OR BENZATHIN)

  10. A.I.D.S. • CAUSED BY HUMAN IMMUNO DEFICIENCY VIRUS • MODE OF INFECTION BY SEX ,BL.TRANS. ,VERTICAL TRANS.FROM MOTHER TO BABY WHETHER IN UTERO OR DURING LABOUR • CHARACTERIZED BY: DISSEMENATED INFECTIONS---KAPOSI S SARCOMA OF SKIN---WEIGHT LOSS—DIARRHOEA---DEMENTIA—DEATH • DIAGNOSIS:ENZYME LINKED IMMUNOSOBENT ASSAY (ELISA) • TTT: CURENTLY NO EFFTIVE TTT

  11. HUMAN PAPILLOA VIRUS • INFECTION OF GENITAL TRACT IS PRE-MALIGNANT (CONDYLOMA ACUMINATA) • #PREVENTION BY VACINES • C.P AND INVESTIGATIONS: MASS –VAGINAL DISCHARGE—CONTACT BLEEDING • CTOLOGY AND COLPOSCOPY • TTT : ABLATION------SURGICAL REMOVAL

  12. HERPES SIMPLEX • TOW TYPES : HVS1 AND VHS2 • C.P. : PAINFUL GENITAL ULCER, V.DISCHARGE, URETHRITIS,LYMPHADENOPATHY, RECURRENT • TTT : ANTI VIRAL (ACYCLOVIR)

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