ETS Enfermedades de transmisión sexual (ETS)

MODULE 12. Infectious Diseases. This module will be taught in the Medical Wards during the second and third years of the Internal Medicine residency, lasting one month each year, distributed according to the general residency curriculum for this specialty. Its content is interconnected with rotations in Primary Health Care, the Emergency Department, and the Intermediate and Intensive Care Units, as well as with the infectious diseases covered in the different modules. Residents are required to review the content related to the management of febrile patients, management of immunocompromised patients, infection prevention, and the ordering and interpretation of complementary tests for the study of patients with infectious diseases. OBJECTIVES: • Establish presumptive, positive, and differential diagnoses for patients with infectious diseases. • Order and interpret the most common complementary tests in infectious diseases. • Order hospital admissions and consultations. • Guide appropriate treatment. • Indicate preventive, health promotion, and rehabilitation measures. • Provide psychological support to patients and their families, always adhering to the principles of medical ethics. CONTENTS: 12.1. Bacterial Infections. Antibacterial Therapy. Drugs of choice and alternatives. Mechanisms of action. Clinical use, pharmacokinetics, and administration. Clinical presentation, complementary tests, positive and differential diagnosis, complications, and treatment of choice and alternatives for: Mycoplasma infections, aerobic Gram-negative bacillus pneumonia, Legionellosis, Streptococcal infections and rheumatic fever, infective endocarditis, staphylococcal infections, bacterial meningitis, Haemophilus influenzae infections, Clostridial infections (gas gangrene, pseudomembranous colitis, botulism, and tetanus), enteric infections (typhoid fever, shigellosis, cholera), and brucellosis. 12.2. Tuberculosis and Leprosy: Clinical presentation, complementary tests, positive and differential diagnosis, complications, and therapeutic management. 12.3. Leptospirosis: Clinical presentation, complementary tests, positive and differential diagnosis, complications, and therapeutic management. 12.4. Sexually Transmitted Infections (STIs): Clinical presentation, complementary tests, positive and differential diagnosis, complications, and therapeutic management of gonococcal infections and syphilis. 12.5. Chlamydia: Clinical presentation, complementary tests, positive and differential diagnosis, complications, and therapeutic management. BIBLIOGRAPHY: 1. Cecil Textbook of Medicine. Latest edition.