Procedure Ready: Ob/Gyn

STIs

Listen Later

Sexually transmitted infections are a core part of gynecologic care. This episode provides a rapid-fire review of the most common STIs organized by diagnostic method – swab/urine vs. serum vs. clinical diagnosis – covering screening recommendations, classic presentations, and first-line treatments.

Show Outline:

  • Swab/Urine STIs
    • Chlamydia – Usually asymptomatic. Screen routinely. Can cause infertility/PID and Fitz-Hugh-Curtis syndrome. Treat with Azithromycin ×1.
    • Gonorrhea – Often asymptomatic. Screen routinely. Can cause infertility/PID. Treat with Ceftriaxone + Azithromycin.
    • Trich – Frothy/watery discharge, “strawberry cervix.” Can see trich moving on wet mount. Treat Flagyl 2g PO once.
    • HPV – Cervical dysplasia/cancer and genital warts. Topical treatments as needed.
    • Serum STIs
      • Syphilis – Painless chancre → latent → secondary (palmar/plantar rash). If unsure of stage, treat as latent: PCN IM ×3.
      • HIV – Universal screening. PrEP if high risk. Referral to ID and counseling if positive.
      • Hep B – Treatable, not curable. Routine serum screening.
      • No Routine Screening (diagnose if lesion)
        • HSV – Antivirals for outbreaks; prophylaxis if frequent outbreaks or immunosuppressed. Valacyclovir or acyclovir most common.

          • About the Speaker:

          Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators.

          Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

          ...more
          View all episodesView all episodes
          Download on the App Store
          Procedure Ready: Ob/GynBy Jennifer Doorey, MD, MS
          • 4.9
          • 4.9
          • 4.9
          • 4.9
          • 4.9

          4.9

          268 ratings

          More shows like Procedure Ready: Ob/Gyn

          View all
          AFP: American Family Physician Podcast by American Academy of Family Physicians

          AFP: American Family Physician Podcast

          705 Listeners

          JAMA Clinical Reviews by JAMA Network

          JAMA Clinical Reviews

          506 Listeners

          Behind The Knife: The Surgery Podcast by Behind The Knife: The Surgery Podcast

          Behind The Knife: The Surgery Podcast

          1,306 Listeners

          The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

          The Curbsiders Internal Medicine Podcast

          3,360 Listeners

          Emergency Medical Minute by Emergency Medical Minute

          Emergency Medical Minute

          269 Listeners

          Core IM | Internal Medicine Podcast by Core IM Team

          Core IM | Internal Medicine Podcast

          1,152 Listeners

          Evidence Based Birth® by Rebecca Dekker, PhD, RN

          Evidence Based Birth®

          1,035 Listeners

          CREOGs Over Coffee by CREOGs Over Coffee

          CREOGs Over Coffee

          558 Listeners

          Zero to Finals Medical Revision Podcast by Thomas Watchman

          Zero to Finals Medical Revision Podcast

          143 Listeners

          The Clinical Problem Solvers by The Clinical Problem Solvers

          The Clinical Problem Solvers

          517 Listeners

          Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

          Harrison's PodClass: Internal Medicine Cases and Board Prep

          373 Listeners

          » Divine Intervention Podcasts by Divine-Favour Anene

          » Divine Intervention Podcasts

          1,013 Listeners

          Cram The Pance by Scott Shapiro PA-C

          Cram The Pance

          1,138 Listeners

          Normal Gossip by Normal Gossip

          Normal Gossip

          5,751 Listeners

          Ninja Nerd by Ninja Nerd

          Ninja Nerd

          327 Listeners

          Clerkship Ready: Pediatrics by MedReady

          Clerkship Ready: Pediatrics

          22 Listeners