stds - PATRICK DUFF, M.D. UNIVERSITY OF FLORIDA SEXUALLY...

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Unformatted text preview: PATRICK DUFF, M.D. UNIVERSITY OF FLORIDA SEXUALLY TRANSMITTED DISEASES Chlamydia Gonorrhea Syphilis LEARNING OBJECTIVES Pathophysiology of infection Clinical manifestations Diagnosis Treatment KEY QUESTIONS Most practical, clinically useful diagnostic test for gonorrhea and Chlamydia Most appropriate antibiotic for treatment of chlamydia endocervicitis Characteristic lesions of each stage of syphilis Esoterica CHLAMYDIA Pathogen - Chlamydia trachomatis Obligate intracellular parasite Can be grown in tissue culture CHLAMYDIA MICROBIOLOGY Reticular body Elementary body infectious form CHLAMYDIA MECHANISMS OF TRANSMISSION Sexual contact Perinatal CHLAMYDIA Frequency Most common STD in Western countries 3 - 5 x as common as gonorrhea Prevalence varies with the population CHLAMYDIA MANIFESTATIONS IN MEN Urethritis Proctitis Epididymitis CHLAMYDIA MANIFESTATIONS IN WOMEN Urethritis Endocervicitis Proctitis PID Perihepatitis FITZ-HUGH-CURTIS SYNDROME CHLAMYDIA DIAGNOSIS Clinical examination Culture Nucleic acid probes - PCR CHLAMYDIA...
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stds - PATRICK DUFF, M.D. UNIVERSITY OF FLORIDA SEXUALLY...

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