Sexually Transmitted Diseases

Sexually Transmitted Diseases
Presentation lecture by:Marci Putnam

Case study
Chlamydia
Clinical Findings in Chlamydia
Sequelae of Chlamydia
Diagnosis of Chlamydia
Treatment of Chlamydia
Other Considerations

Case study 2
Gonorrhea
General Considerations
Clinical Findings in Gonorrhea
Work Up of Gonorrhea
* Diagnosis
Treatment for Gonorrhea
Other Considerations

Case 3

Genital Herpes Simplex Virus
Clinical Findings in Genital HSV
Diagnosis of HSV
Treatment of Genital HSV
Other Considerations


Chancroid
Clinical Findings in Chancroid
Diagnosis of Chancroid
Treatment of Chancroid

What about a painless genital ulcer?
Syphilis
Clinical Findings in Syphilis
Diagnosis of Syphilis
Treatment of Syphilis

Genital Human Papilloma Virus
Hepatitis B
Diagnosis & Treatment of HBV
Human Immunodeficiency Virus Overview
Testing for HIV

References

* Centers for Disease Control: Morbidity & Mortality Weekly Report. “Sexually Transmitted Diseases Treatment Guidelines 2002”. 10 May 2002, Vol. 51, No. RR-6.
* DeCherney, Pernoll. Current: Obstetric & Gynecologic Diagnosis & Treatment. 8th Ed. (McGraw Hill, Lange: New York).
* www.uptodate.com database topics related to sexually transmitted diseases.
* Primary Care Medicine: Office Evaluation and Management of the Adult Patient, 3rd Ed. Goroll, May & Mulley. Lippincot-Raven:New York, 1995.
* Tierney, McPhee, Papadakis. Current: Medical Diagnosis & Treatment, 40th Ed. (McGraw Hill, Lange:New York, 2001)
* http://www.cdc.gov/nchstp/dstd/dstdp.html
* www.aafp.org

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Electrocardiogram

Electrocardiogram
Presentation by:Dr Ryan Beasley
January 27, 2009


Physiology Background
* Human body is very complicated
* Cells
o Building blocks are small
o Do everything your body does
* 6 Major systems
o Musculo-skeletal, respiratory, gastrointestinal, nervous, endocrine, circulatory
o Why?

Why ECG's?
* Is the heart producing correct electric signals?
o ER, OR, CCU
* Heart forces blood to flow
o Blood carries oxygen, energy, toxins
History
Principle of Operation
Number of Leads
Hypothetical Use
Complications
Small Signals & Noise
Protect against Defibrillator
Other Issues
Alternatives
Policy (BCBS example)
Market Forces

* DATATRAK International, Inc provides infrastructure for delivering annotated cardiac safety transactions (ECG, Holter)‏
* Software and related capabilities delivered as an Application Service Provider, allowing long-term storage, review, and retrieval of multiple laboratory tests
* Business model involves transactional-based pricing instead of seat licenses

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STDs – Genital Lesions

STDs – Genital Lesions
Presentation lecture by:Tisha Titus
Family & Preventive Medicine

Genital Lesion STDs
* Chancroid
* Genital Herpes
* Lymphogranuloma Venereum (LGV)
* Granuloma Inguinale
* Syphilis
* Human Papillomavirus (HPV)
* Molluscum Contagiosum

Psuedo-adenopathy
Regional LAD
Common; prodrome of tingling
Purulent hemorrhagic
Erythematous; undermined
Possible risk of AIDS
(M) - Genital elephantiasis
(F) – rectal strictures
Scarring, tissue damage, possible risk of AIDS
Death, insanity, sterility, heart disease
SA, stillbirth, birth defects
Treatment
Chancre at infection site
Klebsiella granulomatis
Chlamydia trachomatis
Hemophilus ducreyi
Trepnema pallidum
HSV II
Etiologic agent
Granuloma inguinale
LGV
Chancroid
Syphilis
Herpes
Pt complains of genital ulcer/warts
Clinical cure
Referral to specialist
CDC Prevention & Control
Eliciting information
Chancroid
Chancroid Treatment
Genital Herpes
HSV First Episode Treatment
HSV Suppression Therapy
HSV Recurrent Treatment
Severe HSV
HSV Special Considerations
Lymphogranuloma Venereum
LGV Treatment
Granuloma Inguinale
GI Treatment
Syphilis
Syphilis: Sex Partner Evaluation
Syphilis Treatment
PCN Allergy
Latent Syphilis Treatment
Adults Early
Neurosyphilis Treatment
Syphilis & HIV
Syphilis & Pregnancy
Congenital Syphilis
Human Papilloma Virus (HPV)
Patient Applied Wart Treatments
Provider Administered Wart Tx
Other Wart Treatments
Cevical
Urethral meatus
Anal
Pregnancy
Molluscum Contagiosum
MC Treatments
References

* www.DermAtlas.com
* www.Healthac.org
* CDC MMWR Aug 4, 2006 vol 55 No RR-11
* http://www.nlm.nih.gov/medlineplus/ency/article/000826.htm

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