Ep182 STIs: Vulvovaginitis, Cervicitis, Urethritis Recognition and Management (BACKUP)

STIs are on the rise and underrecognized in the ED. Certain STIs such as syphilis can have a mortality rate of up to 58%. When recognized and treated early ED physicians can prevent many of the long term sequalae that come from undertreatment. Unfortunately, patients may not have access to primary care and the ED may be the one point at which counseling, examination, screening, and treatment can occur.

The post Ep182 STIs: Vulvovaginitis, Cervicitis, Urethritis Recognition and Management (BACKUP) appeared first on Emergency Medicine Cases.

In this Part 1 or our two-part podcast series on STIs we discuss a general approach to cervicitis, vulvovaginitis and urethritis, elucidate some key historical features, debate who needs a pelvic exam in the ED, understand who needs what testing, debate self swabs vs physician taken swabs, dig into some specific under-recognized organisms like Mycoplasma Genitalium, figure out who needs what kind of empiric treatment, sexual partner treatment and which discharge instructions are key...

The post Ep 182 STIs: Cervicitis, Vulvovaginitis and Urethritis Emergency Recognition and Management appeared first on Emergency Medicine Cases.

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