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Medgeeks Clinical Review Podcast

PA Boards 106: Clinical Pearls for Chlamydia & Gonorrhea

Medgeeks Clinical Review Podcast

Medgeeks

Physician, Pance, Health & Fitness, Review, Family, Education, Medicine, Assistant, Board, Podcast

4.7989 Ratings

🗓️ 21 December 2016

⏱️ 16 minutes

🧾️ Download transcript

Summary

Today, we'll discuss signs, symptoms, complications, diagnosis, and treatment options for both chlamydia and gonorrhea. This is a clinical talk - meaning we'll go over real world scenarios (a little different when compared to board review).

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Transcript

Click on a timestamp to play from that location

0:00.0

All right, so in this lecture, we're going to be talking chlamydia and goneria.

0:06.8

Now, chlamydia and goneria are the most common STDs that you are going to be

0:11.2

diagnosing.

0:12.1

So it's important to know who it affects, how to screen,

0:15.1

how to diagnose, and how to treat. Now, very important, we know that Klamydia and

0:21.0

gonorrhea, for the most most part are going to cause problems for the woman

0:25.7

not so much the man now the reason why we're screening for males is because we

0:31.6

don't want transmission to females and the problems

0:34.8

are the complications that can happen with the female include infertility, PID

0:39.4

which is pelvic inflammatory disease, they can have chronic pain, they can have pregnancy

0:43.8

complications like a topic, spontaneous abortion, and premature rupture of

0:48.1

membranes. So really the main reason to screen males and to treat is really to prevent transmission to the female.

0:56.0

Now, one thing to keep in mind is when a mother has chlamydia, has gonorrhea, they become pregnant, and you have a child born

1:07.0

vaginally in an untreated mother, this can also present with complications to the baby. Now things that can happen, we can have

1:16.1

pneumonia, we can have conjunctivitis, we can have pharyngeitis, and we can have gonococ gone on coxemia.

1:23.4

Now risk factors for chlamydia, risk factors for gunnerie

1:26.0

are going to be multiple sex partners,

1:28.0

recent new sex partner within the last 60 days,

1:31.2

not using condoms, prior STDs, and having a history of drug use.

1:37.0

Now, the way we screen, we're going to screen every single year annually.

1:42.0

We're going to screen women who are under the age of 25

1:45.0

universally. This means every woman under 25 gets screened every single year. After 25,

...

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