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SEXUALLY TRANSMITTED DISEASES

Genital warts-genital herpestrichomonasis

Presented By:
Kimberly London
Kim Williams
Joanna Alleyne
Daniella Kerr
Charrissa Moore
Ruth Alverez
Medita Savory

OBJECTIVES

OBJECTIVES:
To define the named sexually transmitted diseases
To explain the etiology of the STDs
To discuss the signs and symptoms of the STDs
To discuss the diagnosis of these STDs
To briefly outline a few treatment methods
To link the signs and symptoms to the prior

knowledge of the inflammatory response

BY:
KIM WILLIAMS
&
MEDITA SAVORY
&
KIMBERLY LONDON

Genital Warts

GENITAL WARTS: AT A GLANCE


A common sexually transmitted disease (STD)
It is a type of HPV
Known as the Silent STI (Moini, 2011)
Spread easily by skin-to-skin contact
Treatment available for genital warts symptoms

GENITAL WARTS! What is it?


Also called venereal warts or condylomata
acuminate

Growths on the skin of the genital area or around


the anus.

Circumscribed, elevated skin lesions


(Lewis & Tamparo, 2011)

GENITAL WARTS! What is it?


Women are somewhat more likely than men to
develop genital warts (Mayo Clinic, 2014)

Genital Warts can appear in the mouth, rectum, anus,


or genital areas.

ETIOLOGY OF GENITAL WARTS


Caused by the human papilloma virus (HPV).
Over 100 different types of HPV
Affect different parts of the body including the hands and
feet
Approximately 30 types of HPV can live in and around the
anogential areas (Moini, 2011)

ETIOLOGY OF GENITAL WARTS


Types 6 and 11 found in most external genital warts
(benign)

Type 16 and 18 appear to be most infectious

Associated with most invasive squamous cell cancer

Human Papilloma Virus

SIGNS & SYMPTOMS OF GENITAL WARTS


Most people with HPV infection will not develop
visible warts and the virus will go away on its own.

Basically you may not know whether you or your


partner have the virus.

SIGNS & SYMPTOMS OF GENITAL WARTS


If warts do appear, this can happen from three

weeks to many months or even years, after


coming into contact with the virus.

Small, fleshy growths, bumps or skin changes

which may appear anywhere in or on the genital


or anal area (Family Planning Association, 2013)

SIGNS & SYMPTOMS OF GENITAL WARTS


In women warts can be found:

vulva (the lips around the opening to the vagina)


cervix (entrance to the uterus) and upper thighs
vagina
anus.

SIGNS & SYMPTOMS OF GENITAL WARTS


In men warts can be found:
the penis
Scrotum
urethra (tube where urine comes out) and the
upper thighs
anus.
(Mayo Clinic, 2013)

SIGNS & SYMPTOMS OF GENITAL WARTS


Usually painless
Itching and burning may occur
Can appear from three weeks to many months
or even years, after coming into contact with
the virus.
Discomfort varies on the number, locations, size
of warts (Moini, 2011)

SIGNS & SYMPTOMS OF GENITAL WARTS

Small, fleshy- coloured growths, soft-to-the-touch bumps


(looks like a cauliflower)

May appear anywhere in or on the genital or anal area.

Grow in more than one place and may cluster in large


masses.

DIAGNOSIS OF GENITAL WARTS


No specific test for HPV infection

Easily identified by appearance and location

Biopsy may be done to rule out carcinoma

Goes away on its own (Lewis & Tamparo, 2011)

TREATMENT FOR GENITAL WARTS


Chemical agents
Surgical Removal (cryosurgery and electrodessication)
Keratolytic and antiviral creams
Cesarean section if reaches birth canal of pregnant
women
NB: Women with genital HPV infection is at higher risk for
cervical cancer

BY:
DANIELLA KERR
&
RUTH ALVEREZ

Genital Herpes

GENITAL HERPES! What is it?


Also called Venereal herpes

Highly contagious viral infection of the male and


female genitalia

Unlike other diseases, it tends to recur


spontaneously

GENITAL HERPES! What is it?


There are two types:
Active Stage:
Characteristic skin lesions

Latent Stage:
Individual is asymptomatic

ETIOLOGY OF GENITAL HERPES

Caused by the herpes simplex virus (HSV)

HSV-1 (cause blisters around mouth) & HSV-2 may produce


the disease

Most cases of genital herpes attribute towards HSV-2

ETIOLOGY OF GENITAL HERPES

Transmitted through:

direct contact with bodily secretions Kissing

Sexual intercourse

Oral-genital sexual activity

Hand-to-body contact

ETIOLOGY OF GENITAL HERPES

Life threatening to infants: babies who are born of mothers


with herpes usually have severe brain damage and/ or
may die (Moini, 2011)

What painful cold sore you


get on your lip every now
and then? It's probably
caused by a type of herpes
virus called HSV-1.

SIGNS & SYMPTOMS OF GENITAL HERPES

During Active Phase:

Characteristic skin lesions:

mouth

Genitals

anus

Multiple, shallow ulcerations, pustules or erythematous


vesicles

SIGNS & SYMPTOMS OF GENITAL HERPES

Symptoms:
Malaise (discomfort)

Headache
Anorexia
Muscle Pains
Dysuria (painful
Fever
urination)

INFLAMMOTORY RESPONSE
SIGNS & SYMPTOMES OF GENITAL HERPES

Redness of the skin caused by dilation of the superficial


capillaries

Vesicles tend to rupture causing pain and itching

DIAGNOSIS OF GENITAL HERPES


Physical examination- characteristic lesions is sufficient

Scraping and biopsy of ulceration- evidence of HSV-2

Blood tests can show antibodies HSV-1 and HSV-2

(Lewis & Tamparo, 2011)

TREATMENT FOR GENITAL WARTS


Drugs will not and cannot eradicate the virus

Taken soon as outbreak occurs

Only shut down virus production (Moini, 2011)

TREATMENT FOR GENITAL WARTS


Secondary infections need to be prevented and
speedily managed
Medications can be used to reduce edema and pain
Clients encouraged to keep lesions clean and dry

TREATMENT FOR GENITAL HERPES


Acyclovir Tablets
or Cream

TREATMENT FOR GENITAL HERPES


Newer Agents:
Famciclovir
Valacyclovir

TREATMENT FOR GENITAL HERPES


Complimentary Therapy
ICE PACK
COOL COMPRESSIONS
BAKING SODA

BY:
JOANNA ALLEYNE
&
CHARISSA MOORE

Trichomoniasis

TRICHOMONIASIS! What is it?


One of most common and curable
sexually transmitted disease (STD)
Affects both men and women.
Affects approximately 5 million people in
the US every year (Moini, 2011)

ETIOLOGY OF TRICHOMONIASIS
Flagellated parasite, Trichomonas vaginalis is the cause
of this infection (pear shaped)

Transmitted almost exclusively by sexual intercourse

A parasite of the genitourinary tract

Requires a warm (body temperature), moist, slightly


alkaline pH (4.9-7.5) environment to thrive (Helms, 2006)

Trichomonas vaginalis

SIGNS & SYMPTOMS OF TRICHOMONIASIS


Easily spread

Most infected patients are asymptomatic

Nearly 15% of all people have this disease

Initial symptoms: dysuria and itching

SIGNS & SYMPTOMS OF TRICHOMONIASIS


Symptoms in Women include:
Vaginal Discharge
Irritation
Pruritus
Vague abdominal discomfort
(Shahmanesh & Zenilman, 2011)

SIGNS & SYMPTOMS OF TRICHOMONIASIS


Signs in Women include:
Vaginal Discharge (42%)- greenish yellow colour
Odor (50%)
Edema or Erythema (22%-37%)
Colpitis macularis (Strawberry cervix)
(Shahmanesh & Zenilman, 2011)

SIGNS & SYMPTOMS OF TRICHOMONIASIS


Signs in Men include:

Infection is asymptomatic

Can cause nongonococcal urethritis (Shahmanesh &


Zenilman, 2011)

DIAGNOSIS OF TRICHOMONIASIS
Relies on:

Evaluation of symptoms

Visualization of the organism by microscopy of


vaginal secretions (Shahmanesh & Zenilman, 2011)

DIAGNOSIS OF TRICHOMONIASIS
Rapid dipstick technique or DNA probe technique

Wet-mount slide preparation (Moini, 2011)

TREATMENT FOR TRICHOMONIASIS


2 grams orally in a
single dose
METRONIDAZOLE
(Flagyl)

TREATMENT FOR TRICHOMONIASIS


2 grams orally in a
single dose
TRINIDAZOLE

LETS
SUMMARIZE!

DEFINITIONS OF
STDs

ETIOLOGY OF
STDs

SIGNS & SYMPTOMS


OF STDs

DIAGNOSIS &
TREATMENT OF STDs
LINK TO INFLAMMATORY
RESPONSE

OBJECTI
VE 1
OBJECTIV
E 2
OBJECTIV
E 3
OBJECTIV
ES 4
OBJECTI
VE 5

References
Genital herpes. (2011). Mayo Clinic. Retrieved April 5, 2014, from
http://www.mayoclinic.org/diseases-conditions/genitalherpes/basics/definition/con-20020893
Helms, R. A. (2006). Textbook of therapeutics: drug and disease
management. (8th ed.). Philadelphia, Pa.: Lippincott Williams &
Wilkins.
Tamparo, C. D., & Lewis, M. A. (2011). Diseases of the human body
(5th ed.). Philadelphia, PA: F.A. Davis.
Trichomoniasis. (n.d.). Sexually Transmitted Disease Guide.
Retrieved April 5, 2014, from http://www.stdgov.org/stds/trichomoniasis.htm

References
Zenilman, J. & Shahmanesh, M. (2011). Sexually Transmitted
Infections: Diagnosis, Management, and Treatment James. Jones &
Barlett Publishers. Retrieved April 5, 2014, from
http://books.google.tt/books?
id=lO5BND02eBwC&dq=etiology+trichomoniasis&source=gbs_navl
inks_s