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Sexually Transmitted Diseases Capital Conference, June 2007 Gregory Perron, MD
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Useful Resources ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Genital Ulcer Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Herpes Simplex Virus ,[object Object],[object Object],[object Object],[object Object],[object Object]
HSV, Primary Infection ,[object Object],[object Object],[object Object],[object Object],[object Object]
Primary HSV, female patient Primary infection in pregnancy: highest risk of fetal transmission
Medical Treatment   First Clinical Episode   ,[object Object]
HSV – Recurrent Episodes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HSV Suppression ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Syphilis -  Treponema pallidum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary syphilis-chancre Hallmark: PAINLESS!
Secondary syphilis -skin rash; mucocutaneous lesions, regional lymphadenopathy characteristic
Secondary syphilis - condyloma lata
Syphilis Stages cont ,[object Object],[object Object],[object Object],[object Object],[object Object]
Syphilis- Diagnostic Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nontreponemal Tests ,[object Object],[object Object],[object Object],[object Object]
Treponemal Tests ,[object Object],[object Object],[object Object],[object Object],[object Object]
Syphilis Diagnosis ,[object Object],[object Object]
Syphilis Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Syphilis Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary & Secondary cont ,[object Object],[object Object],[object Object]
Primary & Secondary cont ,[object Object],[object Object]
Neurosyphilis ,[object Object],[object Object],[object Object]
Neurosyphilis cont ,[object Object],[object Object],[object Object]
Chancroid ulcers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Granuloma inguinale, male ,[object Object],[object Object],[object Object],[object Object]
Urethritis/Cervicitis Diseases ,[object Object],[object Object],[object Object],[object Object]
Chlamydia ,[object Object],[object Object],[object Object],[object Object]
Chlamydia Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chlamydia Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chlamydia in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chlamydia Followup ,[object Object],[object Object],[object Object]
Gonorrhea ,[object Object],[object Object],[object Object],[object Object],ick
Gonococcal cervicitis ,[object Object],[object Object],[object Object]
Gonorrhea - gram stain of urethral discharge Diagnosis by gram stain– MEN only
Gonorrhea Infection in the Eye Diagnosis is by clinical suspicion and culture- need selective media in CO2-enriched environment Treatment: ceftriazone 1gm IM; consider saline lavage
GC Treatment ,[object Object],[object Object],[object Object]
MPC, NGU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diseases Characterized by Vaginal Discharge ,[object Object],[object Object],[object Object],[object Object]
Vulvovaginal Candidiasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VVC, Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of VVC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trichomonas ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bacterial Vaginosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vagin osis  – not Vagin itis
Bacterial Vaginosis Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Human Papilloma Virus ,[object Object],[object Object],[object Object],[object Object]
HPV Factoids ,[object Object],[object Object],[object Object],[object Object],[object Object]
HPV Counselling ,[object Object],[object Object],[object Object]
HPV- Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HPV Vaccine - Gardisil ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Vaccines for STDs ,[object Object],[object Object]
HPV, HSV Vaccines ,[object Object],[object Object],[object Object],[object Object],[object Object]
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