Nr602 Final Study Guide Rated A+

Syphilis symptoms {Ans: Sx- [Primary]- Chancre- indurated firm painless papule or ulcer w/ raised borders, women can have cervical or vaginal lesion....on any mucus mem. [Secondary}-viral syndrome w/ diffuse lymphadenopathy AEB dermatitis, papulosquamous lesion on palms and soles. Lesions on trunk will be macular or maculopapular popular or pustular other systemic include patchy alopecia, hepatitis, nephritis. [Latent]- resolution of lesion of primary and secondary or finding of serologic test w/o therapy}Bacterial vaginosis symtoms {Ans: Sx-3 of 4 Amsel criteria}Sx- soft bulge of tissue in vaginal, difficult BM, sensation of rectal pressure, incomplete emptying after BM, sexual concerns {Ans: Rectocele}Trich {Ans: Caused by flagellated protozoan, mobile}Dysmenorrhea mechanism {Ans: prostaglandin activity}Lichen Sclerosus Treatment {Ans: Tx- stop itch scratch cycle and minimize inflamm. General hygiene avoid tight undies, cleanse daily w/ soap and dry. Oral antihistamine @ HS, clobetasole (Dermovate) potent topical steroid twice daily x2 wks then once daily x2 wks, taper down ****Can progress to vulvar carcinoma}Vulvodynia Tx {Ans: Tx- pelvic floor PT, maintain vulvar hygiene, avoid constricting clothes and irritating agents. 5% lido cream for pain relief, topical estrogen prep, after 3 months and no relief tx w/ TCA}UTI treatment complicated {Ans: