Sexually Transmitted Diseases Gonorrhea

Gonorrhea is caused by Neisseria gonorrhea, affecting primarily the rectum, leading to severe proctitis with a yellow mucopurulent discharge. The diagnosis is confirmed by a swab and culturing of the rectal discharge using Thayer-Martin medium. The treatment is instituted empirically with 4.8 million units of intramuscular aqueous procaine penicillin G and 1 g oral probenecid. Due to the high penicillin resistance, a single dose of 250 mg intramuscular ceftriaxone (Rocephin) followed by 100 mg oral doxycycline bid for 7 days may be used as a first choice. Recurrence rates may be high (up to 35%), therefore, the patient is instructed to return for follow-up for smears and cultures to confirm remission. Because patients with gonorrhea may have associated chlamydial infection, treatment for chlamydia is instituted as well.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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