16 yo Ab pain - 1 wk On oral contraceptives but frequently forgets pills Last sexual contact 1 wk ago Tender ulcers on labia majora & minora Cervical motion tenderness Mild inflam cervic Tender inguinal adenopathy
PID aka salpingitis
Differential for genital ulcers
Viral: HSV 1 & 2 (painful) Bacterial: - Syphilis (painless) - Chancroid - LGV (chlamydia)
Complications of untreated salpingitis
Abscess on tubes/ovaries
Ectopic preg
Sterility
Treat HSV salpingitis
Acyclovir
Goal = decrease duration
Initial treatment acute HIV
2 NRTIs: - 1 NNRTI - Boosted PI or - Integrase inhibitor
Treat mucocutaneous candidiasis
Fluconazole
Things to worry about when giving Abacavir
HLA types –> HST
Heart issues
Painless lesions Do not itch Flesh colored papules Sexually active No inguinal lymphadenopathy
HPV