#127 STIs: Syphilis, Gonorrhea and Chlamydia

The Curbsiders Internal Medicine Podcast

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 [e-mail].

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