Discomfort with anatomyPersonal

experiences

Culture and religionPatient

discomfortPersonal feelings

Lifestyles different from our own

Discomfort with physiology

STI’s Gone Wild

Amanda Cuda, MD

Logic and Epidemiology

Sex is common

STI’s happen because of sex

Therefore STI’s are common

Objectives

Reviewed dermatology descriptionsDiagnosed 9 STIs Memorized treatments for those 9 STIsNamed those reportable to the CDC

Primary Cutaneous Lesions

Flat

Macule A circumscribed, flat discoloration that may be brown, blue, red, or hypopigmented

Elevated, Solid

Papule An elevated, solid lesion up to 0.5 cm in diameter of variable color. Papules may become confluent to become plaques.

Nodule A circumscribed, elevated solid lesion >0.5 cm in diameter

Plaque A circumscribed, elevated, superficial, solid lesion >0.5 cm in diameter

Fluid Filled

Vesicle A circumscribed collection of free fluid up to 0.5 cm in diameter

Bulla A circumscribed collection of free fluid >0.5 cm in diameter

Pustule A circumscribed collection of leukocytes and free fluid (pus)

Wheal (hive) A firm erythematous plaque resulting from infiltration of the dermis with fluid (may be transient)

Quiz Instructions

Complete the following on your test worksheets:1. Diagnosis2. Treatment3. Reportable to CDC?

Question 1

Most common ulcer infection.

Question 2

Most common cause of urethritis or cervicitis in the United States.

Question 3

Painless ulcer infection.

Question 4

The only cause of urethritis or cervicitis that is a protozoan.

Question 5

This painless ulcer infection is increasing in prevalence worldwide.

Question 6

Painful ulcer infection.

Question 7

Gram negative diplococci that causes urethritis and cervicitis.

Question 8

This condition presents with wavy, elongated papules.

Question 9

Common and underdiagnosed.

Question 10: Bonus

Name the 4 infections from the previous 9 that facilitate the

transmission and infection of HIV.

Quiz Answers

Quiz Answers

Quiz Finish

Support Group Exercise1. Take worksheet for condition, walk around, find

8 other support group members.2. Introduce by presentation and treatment.3. Name if it is reportable to the CDC.4. Create a trick to remember the condition,

treatment, reportable status. Write on post test worksheet.

5. We’ll share examples of memory tricks.6. Take 15 minutes, try to meet the 8 other

support group members.

Pile Sort Exercises

Work in group of 9. Sort cards three times, using these three categories:1. Clinical: ulcers, urethritis/cervicitis, other2. Microbiology: bacteria, virus, other3. Reportable to CDC: yes or no

Post Test

Quiz Instructions

Objectives

Reviewed dermatology descriptionsDiagnosed 9 STIs Memorized treatments for those 9 STIsNamed those reportable to the CDC

Questions?

Please return small group worksheets.

Thank you!