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Learning Objectives
Case 1: Johanne, a 21-year-old college senior complaining of lower quadrant pain and spotting.
To improve health care providers' ability to recognize, diagnose and treat pelvic inflammatory disease.
- Describe the minimum criteria for a presumptive diagnosis of PID.
- Choose the appropriate laboratory assessment for PID.
- Describe the appropriate treatment for PID.
- Appraise how stage-based behavioral counseling can be used for STD/HIV prevention.
- Explain the management of sexual partners of women with PID.
Case 2: Mark, a 27-year-old man complaining of a genital ulcer.
To improve health care providers' ability to recognize, diagnose and treat syphilis.
- Describe the elements one should include in taking the history of the patient with genital ulcer disease.
- Describe the appropriate physical examination for the patient with genital ulcer disease.
- Discuss the differential diagnosis of a genital ulcer whose appearance is consistent with any of the major genital ulcer disease etiologies.
- Discuss the diagnostic work-up of genital ulcer disease.
- Discuss selected aspects of diagnosis and treatment of genital ulcer disease.
- Discuss management of sex partners of people with genital ulcer disease.
- Discuss appropriate STD/HIV prevention counseling for people with genital ulcer disease.
Case 3: Tameka, a 15-year-old recently incarcerated young woman complaining of vaginal discharge.
To improve health care providers' ability to recognize, diagnose and treat Vaginitis.
- Describe the initial clinical approach to a female patient with a complaint of vaginal discharge including history and physical examination.
- Identify the typical signs and symptoms of the common types of infectious vaginitis.
- Select the appropriate laboratory tests for infectious vaginitis.
- Describe the diagnostic criteria for bacterial vaginosis (BV).
- Describe the appropriate treatment for BV.
- Explain the inter-relationships between BV and infection with Human Immunodeficiency Virus.
- Explain how Stage-based Behavioral Counseling can be used for STD/HIV prevention.
- Explain the recommendations for management of sexual partners of women with BV and/or trichomonas vaginitis.
Case 4: Melissa, a 20-year-old college student presenting for evaluation of some painless "growths" on her genitals.
To improve health care providers' ability to recognize, diagnose and treat HPV.
- Identify risk factors for genital HPV.
- Describe the clinical manifestations of genital HPV.
- List the current diagnostic methods for genital HPV.
- List the potential implications for HPV DNA testing.
- Explain the treatment options for genital warts.
- Deliver appropriate counseling messages to women with genital warts and cervical dysplasia.
- Explain options for partner management for women with genital warts and cervical dysplasia.
- Explain how Stage-based Behavioral Counseling can be used for STD/HIV risk reduction.
Case 5: Brian, a 30-year-old man presenting with a 2-3 day history of urethral discharge and moderate-severe dysuria.
To improve health care providers' ability to recognize, diagnose and treat urethritis.
- Identify the potential infectious etiologies of urethritis in men.
- Differentiate the clinical presentation of gonococcal urethritis (GC) and non-gonococcal urethritis (NGU).
- Choose the appropriate diagnostic testing for gonococcal urethritis.
- Choose the appropriate treatment regimen for gonococcal urethritis.
- Describe the optimal partner management activities for a person diagnosed with urethral GC.
- Outline an approach to risk reduction counseling for a person diagnosed with urethral GC.
Case 6: Sam, a 31-year-old man complaining of a painful blister on his penis.
To improve health care providers' ability to recognize, diagnose and treat Herpes.
- Identify the common presenting symptoms of persons with the first clinical episode of genital herpes
- Describe the epidemiology of genital herpes in the United States
- Describe differences between genital herpes and other causes of genital ulcer disease
- Explain the natural history of the first clinical episode of genital herpes
- Explain the relationship between HIV and HSV-2 infection
- List the diagnostic testing strategies for genital herpes
- Explain the treatment options for persons with genital herpes
- Explain how Motivational Interviewing can be used for STD/HIV prevention.
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