volunteer_activism ADVICE Syphilis Patient Counseling Tips ios_share
Counsel syphilis patients about the Jarisch-Herxheimer reaction occurring within 24 hours of penicillin treatment.
Advise abstinence for one week post-treatment and discuss risk reduction, including that oral sex can transmit syphilis.
play_arrow Listen from 43:12 Save
insights INSIGHT Asymptomatic Nature of GC and Chlamydia ios_share
Most gonorrhea and chlamydia infections are asymptomatic, especially in women.
Screening is essential to detect these silent infections to prevent complications like pelvic inflammatory disease.
play_arrow Listen from 45:25 Save
volunteer_activism ADVICE STI Screening Guidelines for GC & Chlamydia ios_share
Screen sexually active women under 25 years old for gonorrhea and chlamydia routinely.
Screening men is not generally recommended except for men who have sex with men given current syphilis epidemic.
play_arrow Listen from 46:53 Save
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Get the app 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 thecurbsiders@gmail.com .
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 
The Curbsiders Internal Medicine Podcast