ITEMS IN AFP WITH KEYWORD:
Sexually Transmitted Infections
The most common signs and symptoms of urethritis include dysuria, mucopurulent urethral discharge, urethral discomfort, and erythema. First-line empiric treatment consists of ceftriaxone and azithromycin; however, the antibiotic regimen may be targeted to the isolated organism. Repeat testing is not recommended less than three weeks after treatment because false-positive results are possible during this time.
A patient presented with progressive bilateral visual blurring and a maculopapular rash on the trunk.
Feb 1, 2021 Issue
Screening for Cervical Intraepithelial Neoplasia with Patient-Collected HPV Samples [FPIN's Clinical Inquiries]
How useful are patient-collected human papillomavirus vaginal swabs as a screening test for cervical intraepithelial neoplasia?
Nov 15, 2020 Issue
Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections [Putting Prevention into Practice]
A 24-year-old cisgender woman presents to your primary care clinic for a routine physical examination. Her only medication is an etonogestrel (Implanon) 68-mg implant for birth control. She reports occasional vaping of electronic cigarettes and states that she does not drink alcohol or inject drugs....
Nov 15, 2020 Issue
Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.
Family physicians can prevent congenital syphilis by following national screening guidelines; taking accurate, detailed sexual histories; providing evidence-based interventions to people who use injection drugs; and advocating to reduce structural barriers to care.
Rates of primary, secondary, and congenital syphilis are increasing in the United States, and reversing this trend requires renewed vigilance on the part of family physicians. Learn how to recognize common signs and symptoms of each stage of syphilis, and find out which patients should be screened and which antibiotic regimens to use in patients allergic to penicillin.
Genital ulcers are infectious or noninfectious and are located on the vagina, penis, and anorectal or perineal areas, and herpes simpex virus is the most common cause. Diagnosis for herpes simplex virus is made through physical examination and observation of the lesions. Noninfectious etiologies, including sexual trauma and psoriasis, should be considered.
A man presented with a nodule on his tongue that had been growing slowly for three years.
Pelvic inflammatory disease is an infection that predominantly occurs in sexually active young women. Chlamydia and gonorrhea are common causes. Untreated PID can lead to chronic pelvic pain, infertility, ectopic pregnancy, and intra-abdominal infections. Mild to moderate PID can be treated in an outpatient setting; for patients who are severely ill or pregnant, hospitalization for parenteral antibiotic therapy is recommended. Prevention includes screening women younger than 25 years and those who are at risk or pregnant.