N3280 – Health Assessment Across the Lifespan – Infections of the Reproductive Tract
Questions and Answers
primary stage of syphilis hard, painless sore, "chancre" in vaginal area that lasts about 4
weeks (only 30-40% of women diagnosed here)
secondary stage of syphilis 6 weeks to 6 months after appearance of chancre
tertiary stage of syphilis untreated leads to neuro, CV, musculoskeletal or multi-organ failure
(3-15years after infection)
congenital syphilis syphilis passed to the fetus during pregnancy (high percentage of death)
when do we test for syphilis in pregnant women -first visit
-28 weeks
-at hospital admission
syphilis screening tests -VDRL (venereal disease research lab)
-RPR (rapid plasma reagin)
syphilis diagnostic tests treponemal antibody tests
CDC recommendations for syphilis -annual screening for sexually active gay men
-sexually active individuals with HIV should be screened at first HIV evaluation and at least
annually thereafter
-pregnant women should be tested at 1st prenatal visit, early 3rd trimester, and at delivery
syphilis treatment benzathine (sexual partners should be treated)
, pelvic inflammatory disease -results from ascending spread of microorganisms from vagina
and endocervix to upper genital tract
-caused by multiple organisms (chlamydia/gonorrhea)
-commonly involves uterine tubes and uterus
who is at risk for pelvic inflammatory disease -ectopic pregnancy
-infertility
-chronic pelvic pain
pelvic inflammatory disease symptoms depend on type of infection (acute, subacute,
chronic)
-cervical motion tenderness
-uterine tenderness
-adnexal tenderness
-treat presumptively based on symptoms
human papilloma virus (HPV) a group of 200 related viruses through vaginal, anal, or oral sex
low risk HPV 6, 11, 42, 43, 44
low risk HPV symptoms warts on genitals, anus, mouth, throat
high risk HPV 12, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59
high risk HPV symptoms -can cause several types of cancer
Questions and Answers
primary stage of syphilis hard, painless sore, "chancre" in vaginal area that lasts about 4
weeks (only 30-40% of women diagnosed here)
secondary stage of syphilis 6 weeks to 6 months after appearance of chancre
tertiary stage of syphilis untreated leads to neuro, CV, musculoskeletal or multi-organ failure
(3-15years after infection)
congenital syphilis syphilis passed to the fetus during pregnancy (high percentage of death)
when do we test for syphilis in pregnant women -first visit
-28 weeks
-at hospital admission
syphilis screening tests -VDRL (venereal disease research lab)
-RPR (rapid plasma reagin)
syphilis diagnostic tests treponemal antibody tests
CDC recommendations for syphilis -annual screening for sexually active gay men
-sexually active individuals with HIV should be screened at first HIV evaluation and at least
annually thereafter
-pregnant women should be tested at 1st prenatal visit, early 3rd trimester, and at delivery
syphilis treatment benzathine (sexual partners should be treated)
, pelvic inflammatory disease -results from ascending spread of microorganisms from vagina
and endocervix to upper genital tract
-caused by multiple organisms (chlamydia/gonorrhea)
-commonly involves uterine tubes and uterus
who is at risk for pelvic inflammatory disease -ectopic pregnancy
-infertility
-chronic pelvic pain
pelvic inflammatory disease symptoms depend on type of infection (acute, subacute,
chronic)
-cervical motion tenderness
-uterine tenderness
-adnexal tenderness
-treat presumptively based on symptoms
human papilloma virus (HPV) a group of 200 related viruses through vaginal, anal, or oral sex
low risk HPV 6, 11, 42, 43, 44
low risk HPV symptoms warts on genitals, anus, mouth, throat
high risk HPV 12, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59
high risk HPV symptoms -can cause several types of cancer
