Podcast
Questions and Answers
What is one of the primary considerations when discovering sexually transmitted infections in young children?
What is one of the primary considerations when discovering sexually transmitted infections in young children?
- Educating young children on safe sex practices
- Considering male circumcision to reduce spread
- Exploring potential sexual abuse (correct)
- Promoting abstinence from sexual activities
Which of the following sexually transmitted infections is not often the primary cause of issues in men and often recurs?
Which of the following sexually transmitted infections is not often the primary cause of issues in men and often recurs?
- Syphilis
- HIV infection
- Candidiasis (Thrush) (correct)
- Trichomoniasis
What is the causative organism of Candidiasis in most cases?
What is the causative organism of Candidiasis in most cases?
- Candida albicans (correct)
- Treponema pallidum
- Trichomonas vaginalis
- Neisseria gonorrhoeae
How is Candidiasis usually treated in cases of vaginal infections?
How is Candidiasis usually treated in cases of vaginal infections?
In what scenarios can Candida infection become systemic?
In what scenarios can Candida infection become systemic?
What is the primary symptom of Candidiasis in women?
What is the primary symptom of Candidiasis in women?
What is the goal of therapeutic management for HIV patients?
What is the goal of therapeutic management for HIV patients?
What is the consequence of HIV spreading to the brain?
What is the consequence of HIV spreading to the brain?
What is the purpose of administering protease inhibitors during pregnancy?
What is the purpose of administering protease inhibitors during pregnancy?
Why is breastfeeding not recommended for HIV-positive mothers?
Why is breastfeeding not recommended for HIV-positive mothers?
What is the recommended dose of Zidovudine during pregnancy?
What is the recommended dose of Zidovudine during pregnancy?
What is the purpose of CD4 cell count testing in HIV assessment?
What is the purpose of CD4 cell count testing in HIV assessment?
What does a CD4 count below 350 suggest in HIV patients?
What does a CD4 count below 350 suggest in HIV patients?
Which mode of transmission is most likely to result in vertical transmission of HIV to a newborn?
Which mode of transmission is most likely to result in vertical transmission of HIV to a newborn?
What activity during labor increases the risk of transmitting HIV from an infected mother to the baby?
What activity during labor increases the risk of transmitting HIV from an infected mother to the baby?
What is a key HIV prevention measure regarding breastfeeding for an HIV-positive mother?
What is a key HIV prevention measure regarding breastfeeding for an HIV-positive mother?
What does a CD4 count above 500 indicate in HIV-positive individuals?
What does a CD4 count above 500 indicate in HIV-positive individuals?
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Study Notes
HIV and Pregnancy
- HIV can spread to the brain, causing encephalopathy, which leads to dementia, and the severity of dementia symptoms increases with the spread of infection.
- The goal of therapeutic management is to maintain a CD4 cell count above 500 cells/mm³.
- To prevent mother-to-fetus transmission, protease inhibitors like Ritonavir (Norvir) and Zidovudine are administered during pregnancy.
- HIV can be transmitted through sexual intercourse, exposure to infected blood, vertical transmission across the placenta, and breast milk.
Risk Factors and Assessment
- Risk factors for HIV infection include having multiple sexual partners, bisexual partners, using IVF with contaminated materials, and blood transfusions (rare).
- CD4 cell count testing is used to determine the functioning of T4 cells and assess the immune system's ability to resist opportunistic infections.
- A CD4 count above 500 is considered healthy, while a count below 350 indicates significant damage to the immune system.
Sexually Transmitted Infections (STIs)
- STIs range from easily treatable infections like trichomoniasis to life-threatening diseases like HIV.
- STIs can affect anyone, regardless of sexual orientation, and may indicate sexual abuse in young children.
Candidiasis (Thrush)
- Candidiasis is a fungal infection that can occur when the immune system is weakened, and can affect anyone, especially those with diabetes or taking antibiotics.
- Symptoms in women include itchiness around the vagina, thick white discharges, and vaginal dryness.
- Symptoms in men include irritation and itching around the tip of the penis.
- Treatment includes topical creams, vaginal tablets, and oral tablets like Diflucan to prevent Candida infection.
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