STI Seminar for Teens Covers Risks, Diagnosis, Treatment

Sexually Transmitted Infections Twin Cities Adolescent Medicine Seminar February 16, 2006 Eric Meininger, M.D. Internal Medicine / Pediatrics / Adolescent Health Community-University Health Care Center Supported in part by grant # 5-T71-MC00006-24 Leadership Education in Adolescent Health, Maternal and Child Health Bureau, and grant #U48CCU513331 National Teen Pregnancy Prevention Research Center, Centers for Disease Control and Prevention

Why in adolescent medicine? ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Why in adolescent medicine?

Why in adolescent medicine? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bacterial STDs - Urethritis ,[object Object],[object Object]

Bacterial STDs - Urethritis ,[object Object],[object Object],[object Object]

Bacterial STDs - Urethritis ,[object Object],[object Object],[object Object],[object Object]

What should you do? ,[object Object],[object Object],[object Object],[object Object]

Urethritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Division of STD Prevention. Sexually Transmitted Disease Surveillance, 1997. U.S. Department of Health and Human Services, Public Health Service. Atlanta: Centers for Disease Control and Prevention (CDC), September, 1998.

Urethritis Organisms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bacterial STDs - Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bacterial STDs - Treatment ,[object Object]

What is her most likely diagnosis? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cervicitis ,[object Object],10 - 14 2% 15 - 19 41% 20 - 24 33% 25+ 24% 158,544 92,402 130,368 9,168

What should you do? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pelvic Inflammatory Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pelvic Inflammatory Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pelvic Inflammatory Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bacterial STDs - Cervicitis ,[object Object],[object Object],[object Object]

Special Cases - Pelvic Inflammatory Disease ,[object Object],[object Object],[object Object]

Source: Internet Dermatology Society, http://telemedicine.org/ids.htm

Genital Ulcer Disease - Lymphogranuloma venereum ,[object Object],[object Object],[object Object],[object Object]

Genital Ulcer Disease - Lymphogranuloma venereum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Genital Ulcer Disease - Lymphogranuloma venereum ,[object Object],[object Object],[object Object],Source: Weill Medical College of Cornell University http://edcenter.med.cornell.edu/Pathophysiology_Cases/STDs/5215.gif

Gonorrhea Gram Stain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Trichomonas Discharge ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Trichomonas Source: http://www.sti.healthcare.org.uk

Wet Prep - Trichomonas & BV ,[object Object],[object Object],[object Object],[object Object],clue cells Source: http://www.aafp.org/afp/980315ap/majeroni.html Source: http://www.biosci.ohio-state.edu/~parasite/trichomonas.html

Genital Ulcer Disease - Herpes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: http://www.sti.healthcare.org.uk/

Exophytic STDs - Genital Warts (Condyloma accuminatum) ,[object Object],[object Object],[object Object],[object Object],[object Object]

STI Seminar for Teens Covers Risks, Diagnosis, Treatment

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