Std Yaws clinical treatment

Yaws

This  disease  is  seen  in  the  tropical  countries.  Causative

organism  is Treponema pertenue which  appears  undistinguishable

from  T.  Pallidum.  It  is  discussed  here  because  of   these

similarity.

*  It is acquired by direct non-sexual contact

*  The first lesion is an ulcer on the skin leaving a thin  scar.

   Skin rashes occur in 1-3 months after the primary infection

*  The  tertiary  lesions are again like syphilis with  skin  and

   bone lesions are common.

 Treatment

Penicilin  provides  effective  treatment  for  the  disease  2.4

millions  units, Penicillin-G intramuscularly in adults  provides

rapid resolution of the lesions.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com
Now also available on android &smart phones same internet address.
additional information at Distance Learning Support Tryselfcare page Face book

Sexually transmitted deceases Lymphgranuloma inguinale

LYMPHGRANULOMA INGUINALE

This  venereal  disease  occur  in  the  tropical  climates.  The

causative  agent is Chlamydia trachomatis. The incubation  period

is  3-90  days. The lesion produced is an ulcer on  the  genitals

which  is followed later by swellings of the inguinal  nodes.  In

women,  vaginal  or anal infection can occur followed  by  rectal

strictures  because  of  spread of  the  inflammation  along  the

pararectal lymphatics.

4.1 Diagnosis

Is  made by demonstration of Chlamydia from the discharge of  pus

from  the  lymphnodes. Frei skin tes  and  microimmunofluoroscent

test if available can be used

4.2 Treatment

Tetracycline (500 mg. O.D.), Sulphonamide (1 gm QID) are used  in

the treatment of this condition

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com
Now also available on android &smart phones same internet addres.

Gonoccocal infection diagnosis treatment

Diagnosis

1. Gram  stain  of  urethral or endocervical  exudate  show  gram

   negative diplococci

2. Later  obtaining the secretions by prostatic massage may  give

   information  on  presence  of chronic infection  due  to  this

   diplococcus

2.3 Treatment

A  combination  of ampicillin 3-5 gms. single  dose  followed  by

doxycycline  100 mg. twice daily for seven days is  effective  in

the majority of gonococcal infections.

After  treatment, it is important to show that the infection  has

been cured. Urethral secretions are examined in men.

Treatment  of  strictures  is with  dilatation  is  discussed  in

chapter 29.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com


Now also available on android &smart phones same internet addres

Gonococcal Infection Clinical

GONOCOCCAL INFECTION

The infecting organism is Neisseria Gonorrhoeae. A gram  negative

kidney shaped diplococcus which affects the urethra of both sexes

and the cervix in the females.

2.1 Clinical Features

Gonorrhoea is purulent infection of the urethra and less often of

the rectum and vigina

*  Rarely it is met with as conjunctivitis of the new born

*  It presents  most often with burning mucturition in  the  male

   followed  by  discharge  of  yellowish  pus  2-10  days  after

   intercourse with an inffected person

*  Infection  may  also  pass  proximally  and  cause  prostatits

   vesiculitis  and  epidydimoorchitis  in the  male.  All  these

   sequelae  bring the male patient to the surgical out  patients

   department

*  Damage  of the  wall of the urethra may lead to  fibrosis  and

   urethral stricture later.

*  In women;  the infection may lead to Salphingitis,  cellulitis

   and  infection of Bartholins' glands: A late  complication  is

   sterility.  Uncommon  late  complications  of  gonorrhoea  are

   synovitis and arthritis.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com


Now also available on android &smart phones same internet addres

STD Syphilis diagnosis Treatmrnt

Diagnosis

1. In cutaneous lesions, dark field examination of discharge from

   skin lesions for treponema pallidum.

2. Demonstration   of   treponema    pallidum    in   tissue   on

   histopathological examination.

3. Serological  tests  : The  value  of these  tests  in  various

   stages of the desease is given in table 28.1.

Table 28.1:  Percent Positivity of Tests

_________________________________________________________________

Test                    Primary     Secondary   Latent   Tertiary

_________________________________________________________________

VDRL                     72           100         73       77

Flourescent              91           100         97      100

Trepenoma  Antibody

FTA-ABS

Trepenoma Pallidum       46            98         95       95

Immobilisations (TPI)

Haemoaglutination        69           100         98      100

_________________________________________________________________

1.5 Treatment

Penicillin-G  is a drug of choice for all stages of syphilis.  T-

Pallidum   is  killed  by  low  doses  of  penicillin  G;   other

antibiotics   effective   in   syphilis   include   tetracycline,

erythromycin and caphalordin.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com


Now also available on android &smart phones same internet addres.