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Sexually Transmitted Diseases: Chlamydia, Gonorrhea, Trichomoniasis, Syphilis, HIV PowerPoint Presentation
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Sexually Transmitted Diseases: Chlamydia, Gonorrhea, Trichomoniasis, Syphilis, HIV. Dr. Nicholas Viyuoh, MD Board Certified OB/GYN Lock Haven Hospital-Haven Health Care for Women. Presentation contains graphic pictures of diseases. Chlamydia. What is it?

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sexually transmitted diseases chlamydia gonorrhea trichomoniasis syphilis hiv

Sexually Transmitted Diseases:Chlamydia, Gonorrhea, Trichomoniasis, Syphilis, HIV

Dr. Nicholas Viyuoh, MD

Board Certified OB/GYN

Lock Haven Hospital-Haven Health Care for Women

Presentation contains graphic pictures of diseases

chlamydia
Chlamydia
  • What is it?
    • A vaginal infection of the bacteria Chlamydia trachomatis

Normal Cervix

Image from the Practitioner’s Handbook for the Management of STDs

Mucopurulet cervix with inflammation, discharge, and ectopy (abnormal cells) due to infection with Chlamydia

Image from The Practitioner’s Handbook for the Management of STDs

chlamydia1
Chlamydia
  • How is it transmitted?
    • Oral, anal, vaginally, and during childbirth
    • Chlamydia may be cultured from the throats of those who have had oral exposure from an infected individual
  • Symptoms—usually present within 2 weeks of exposure
    • Female: Vaginal discharge, burning with urination, painful intercourse, bleeding between menses
    • Male: Penile discharge, burning with urination

Chlamydial infection within the lymphatic system of an infected male

www.mc3.edu/sa/hpnc/nurstd/std.htm

chlamydia2
Chlamydia
  • Rates of Chlamydia by Age
  • Note: almost all cases of Chlamydia are college-aged
  • MOST FREQUENTLY REPORTED BACTERIAL STD!
  • Clinton County Rates (2004) from the PA dept of Health
    • 61 reported cases in 2004 in Clinton County
    • 21,385 reported in PA in 2004, exclusive of Philadelphia
    • Rate increasing 8.84%/year

From the Center of Disease Control

chlamydia3
Chlamydia
  • Complications:
    • Females: PID, infertility
    • Males: epididymitis
  • Prevention:
    • Abstinence
    • Limit sexual partners
    • Condoms
  • Treatment:
    • Antibiotics
      • Doxycycline, Azithromycin, Erythromycin

The bacteria that causes Chlamydia:

Chlamydia trachomatis

microbewiki.kenyon.edu/index.php/Chlamydia

gonorrhea
Gonorrhea
  • What is it?
    • STD cause by bacteria Neisseria gonorrhoeae
    • Very common STD
  • Signs/Symptoms—usuallypresent within 10 days of exposure
    • Males: Burning with urination, yellow/green/white discharge from penis, swollen or tender testicles
    • Females: often asymptomatic, painful urination, increased discharge

Penile discharge in individual infected with Gonorrhea

www.mc3.edu/sa/hpnc/nurstd/std.htm

gonorrhea1
Gonorrhea
  • Complications
    • Females: PID, infertility
    • Males: epididymitis
  • Treatment: Antibiotics, although we are now seeing more resistance to antibiotics
  • Prevention: abstinence, limit number, condoms

Cervical discharge in female infected with Gonorrhea

http://medinfo.ufl.edu/year2/mmid/bms5300/images/b2.jpg

trichomoniasis
Trichomoniasis
  • What is it?
    • STD caused by protozoan parasite Trichomonas vaginalis
  • Signs/Symptoms
    • Females: frothy yellow-green discharge with a strong odor, pain with intercourse and urination, vaginal itching
    • Males: irritation in penis, discharge

“Strawberry Cervix” from T. vaginalis

www.fpnotebook.com/ID211.htm

trichomoniasis1
Trichomoniasis
  • Complications
    • More susceptibility to other STDs and HIV
  • Prevention
    • Abstinence
    • Limit Sexual Partners
    • Condoms
  • Treatment
    • Vaginal or oral medication: Flagyl

T. vaginalis, protozoa that causes Trichomoniasis isolated from culture

http://www.tulane.edu/~wiser/protozoology/notes/intes.html

syphilis
Syphilis
  • What is it?
    • Bacterial STD caused by Treponema pallidum
  • Transmission
    • Have to have a sore to transmit, but sores may be hidden
    • Transmitted vaginally, anally, orally

www.wales.nhs.uk

syphilis1
Syphilis
  • Signs/Symptoms
    • May be asymptomatic for years
    • Primary stage: painless ulcer (chancre) lasting 3-6 weeks
    • Secondary stage: rash (not itchy), on palms of hands and soles of feet, swollen gland, weight loss, headaches.
    • Tertiary stage: internal organ (brain, heart, eye, nerves) damage,
      • End stage: paralysis, numbness, blindness, dementia, death

pathmicro.med.sc.edu

From the Practitioner’s Handbook of Management of STDs

syphilis2
Syphilis
  • Diagnosis:
    • One of the 2 STDs that is diagnosed with a blood test (other is HIV)
    • The test is called an RPR.
  • Treatment:
    • Antibiotics in the primary or secondary stages
  • Prevention:
    • Abstinence
    • Condoms
    • Limit Partners

http://www.anaisdedermatologia.org.br/_img/figuras_en/20060420193906.jpg

slide13
HIV
  • HIV: what is it?
    • HIV: Human Immunodeficiency Virus
    • AIDS is Acquired Immunodeficiency Syndrome (AIDS)
    • Having HIV does NOT mean you have AIDS

http://www.wellesley.edu/Chemistry/Chem101/hiv/HIV-1.html

references
References
  • http://www.cdc.gov/std/stats/trends2005.htm
  • http://www.cdc.gov/std/default.htm