#127 STIs: Syphilis, Gonorrhea and Chlamydia

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 26 November 2018

⏱️ 76 minutes

🔗️ Recording | iTunes | RSS

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Summary

Master the diagnosis and management of common STIs (sexually transmitted infections) with tips from expert, Dana Dunne MD, Associate Professor of Medicine in Infectious Diseases at Yale. Topics include: the stages and many presentations of syphilis, syphilis treatment and counseling, the natural history, diagnosis, and screening guidelines for gonorrhea and chlamydia, treatment options in the age of growing resistance, and a discussion of partner notification and treatment.

Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected].

Credits

Written and produced by: Bryan Brown MD

Hosts: Bryan Brown MD, Paul Williams MD, Matthew Watto MD

Guest: Dana Dunne MD

Special thanks to Kate Grant MBChB, Dip GUMed for her contribution of knowledge and artwork.

Time Stamps

00:00 Announcement, disclaimer, intro and guest bio
04:29 Guest onliner, book recommendation, advice for learners/teacher, and picks of the week
11:00 A case of syphilis, clinical manifestations and discussion of the stages
26:05 Testing for syphilis
39:05 Mandatory reporting and partner tracing
42:40 Counseling patients with syphilis
44:44 A case of gonorrhea and chlamydia, clinical manifestations, screening guidelines
52:30 How to counsel patients to obtain samples from urethra, rectum, vagina, oropharynx; Mycoplasma genitalium
59:40 CDC treatment guidelines, Super gonorrhea, test of cure, and treatment of partners
72:35 Take home points
74:30 Outro

Transcript

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0:00.0	We had a recent Twitter poll about the length of our episodes and it was actually sort of
0:06.0	50-50.
0:07.0	I think it was also on Facebook as well.
0:09.8	Whether or not people wanted us to split them or not.
0:11.5	So it's a lot easier for me if we just have a long episode and it's split into because
0:18.8	I just can do everything once.
0:20.8	So audience, I will tell you, we spend the first good amount of time.
0:24.0	I don't know if it was 45 minutes or an hour talking about syphilis.
0:27.9	And then on the back end of the show, we talk about some just general STI screening
0:32.7	and gonorrhea and chlamydia.
0:34.6	So you can split it yourself.
0:36.8	You can look at the timestamps in the show notes.
0:39.1	And pretend that we released two episodes.
0:40.8	There's a lot of us assigning homework now.
0:42.8	Yeah, thanks for coming up on Twitter.
0:43.8	The current cyber-spot-cast is for entertainment education and information processing.
0:52.8	As I've discussed, should not be used only at Iconstreet, you're ordered at NDC's
0:55.4	organizations.
0:56.4	For the more that you use the same express on the podcast, or so let us know.
0:57.4	It should not be interpreted perfectly.
0:58.4	It's a special policy for the city of NDC, the cyber-spot-city, cash-like morons, and
1:00.4	affiliate outreach programs.
	...

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