Frenkle TL, P. J. (2011). Wein : Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult.

1. Condition: Symptoms: Treatment: Reportable to the CDC? Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult.

2. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. Genital Herpes Simplex Virus Infection Epidemiology: Prevalence - 50 million people in US Cause: Virus, HSV-2 (85-90%) and HSV-1 (10-15%) Clinical findings: Ulcer disease, recurrent, multiple, painful vesicles Test: Viral Culture First Treatment: Valacyclovir 1g BID for 7-10 days Recurrence: Valacyclovir 500mg BID for 3 days Suppression: Valacyclovir 500mg SID Reportable? No

3. Condition: Symptoms: Treatment: Reportable to the CDC? Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult.

4. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. LymphogranulomaVenereum Epidemiology: Rare in US, most common in Africa, Asia, South America, Carribbean Cause: Bacteria, Chlamydia trachomatis L1,2,3 Clinical findings: Ulcer disease, painless vesicle then ulcer, location penis, anus, vulvovaginal area Test: Culture of lesion Treatment: Doxycycline 100mg BID for 3 weeks Reportable? No

5. Condition: Symptoms: Treatment: Reportable to the CDC? Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult.

6. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. Primary Syphilis Epidemiology: 7.8 cases per 100,000 in men; 1.4 cases per 100,000 in women Cause: Spirochete, Treponemapallidum Clinical findings: Ulcer disease, painless, indurated, singular ulcer, bilateral lymphadenopathy Test: Darkfield microscopy of specimens from lesion; serumVDRL or RPR Treatment: Benzathine penicillin G 2.4 mU IM x 1 Reportable? Yes

7. Condition: Symptoms: Treatment: Reportable to the CDC? Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult. DeCherney AH, Nathan L. Current Diagnosis and Treatment Obstetrics and Gynecology, 10th edition. McGraw Hill Companies.

8. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. Chancroid Epidemiology: Incidence – 28 US cases in 2009, but most common ulcer STI in the world Cause: Bacteria, Haemophilusducreyi Clinical findings: Ulcer disease, painful ulcer, involves penis or vulvovaginal area, unilateral inguinal adenopathy Lab: Difficult, but gram stain and culture lesion Treatment: Azithromycin 1g PO x 1 Reportable? Yes

9. Condition: Symptoms: Treatment: Reportable to the CDC? Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult.

10. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. Chlamydial urethritis/cervicitis Epidemiology: Incidence – 1.2 million cases in 2009 Cause: Bacteria, Chlamydia trachomatis Clinical findings: Asymptomatic. Lower urinary tract symptoms in men. Mucopurulent discharge and PID in women. Screen: Yes, annually for sexually active women <26 Test: Urethral, endocervical culture or urine culture Treatment: Azithromycin 1g PO x 1 Reportable? Yes

11. Condition: Symptoms: Treatment: Reportable to the CDC? Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult.

12. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. Gonorrhea Epidemiology: Prevalence - 50 million people in US Cause: Bacteria, Neisseria gonorrhea Clinical findings: Men- Lower urinary tract symptoms, Women – mucopurlentendocervical discharge Test: Urethral, cervical swab for culture Treatment: Ceftriaxone 250mg x 1 IM Reportable? Yes

13. Condition: Treatment: Reportable to the CDC? Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult.

14. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. Trichomoniasis Epidemiology: Prevalence – 174 million cases worldwide in 1999 Cause: Protozoan, Trichomonasvaginalis Clinical findings: Asymptomatic in men; frothy white or green, malodorous discharge; strawberry cervix Treatment: Metronidazole 2gm x1 PO Reportable? No

15. Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult. Habif (2009). Clinical Dermatology, 5th Edition. Elsevier. MD Consult. Condition: Symptoms: Treatment: Reportable to the CDC?

16. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. Scabies Epidemiology: Treat entire household, not just sexual partners Cause: Mite, Sarcoptesscabiei Clinical findings: Wavy, elongated papules, eruption with pruritis Testing: Microscopic evidence of mite or eggs Treatment: Permethrin cream (5%) all over, wash off after 8-14 hours Reportable? No

17. Condition: Symptoms: Treatment: Reportable to the CDC? Frenkle TL, P. J. (2011). Wein: Campbell-Walsh Urology, 10th. ed. E. Saunders. MD Consult.

18. Adapted from Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2010. MMWR 2010;59(RR-12):21–2. HPV, Genital Warts Epidemiology: Prevalence – 20 million, 80% of women by age 50 will have had the infection Cause: Human Papilloma Virus, various subtypes HPV 6 & 11 - warts HPV 16 & 18 – 99% of cervical cancers Clinical findings: recurrent vesicular lesions Treatment: Podofilox 0.5% gel q12h application x 3 days Reportable? No