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35 Cards in this Set
- Front
- Back
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Refers to an acute inflamm process caused by infection
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Pelvic Inflammatory Disease
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---- may involve any organ or combination of upper genital tract
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PID
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Inflammation of the fallopian tubes
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salpingitis
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Inflammation of the ovaries
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oophoritis
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PID is mostly caused by
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sexually transmitted microorganisms that migrate from the vagina to the uterus - fallopian tubes and ovaries
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Factors that contribute to PID
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Gonorrhoea or chlamydia induce damage to columnar epithelium facilitating invasion by other microorganisms
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Factors that contribute to PID
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lymphatic dranage with parametrial spread, sexually transmitted bacteria attached to sperm
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After one eposode of PID 15 - 25% of women develop
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infertility, ectopic pregnancy, pelvic adhesions & chronic pelvic pain...incidence increases after each exposure
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PID clinical manisfestations
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menstural irregularity, fever, abdo pain, prolonged and profuse bleeding. Pain with walking, intercourse, and jumping
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PID evaluation
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- history
- abdo tenderness on bilateral manual pelvic exam. -mucopurulent discharge -increased ESR |
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tests for PID
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Chlamidia and gonorrhea testing.
C reactive protein increased Sonography & laproscopy |
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PID Differential diagnosis
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ectopic preg
threatened abortion appendicitis diverticulitis twisted ovarian cyst |
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PID treatment
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bedrest
avoidance of intercourse antibiotics |
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causes of vaginitis
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STD, thrush, any condition that causesd the PH of the vagina to rise - low estrogen levels, antibiotics etc
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Signs of Cervicitis
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inflam of cervix
STD's causative cervix inflammed mucopurulent discharge bleeding dysuria |
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Vulvitis signs/causes
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inflam of female external genitalia.
soaps/lotions etc vagial infections that spead to labia - candida, trichomoniasis tinea, psoriasis etc |
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Treatment 'itisis'
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loose clothing, antibiotic cream/pills
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Bartholinitis signs/causes
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inflam of ducts that lead from vagina to bartholin glands.
strep STD's cyst develop as duct is obstructed. |
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Bartholinitis signs/causes treatment
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fever, malaise, cyst tenderness
antibiotics/surgery if cyst needs removing |
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Gonorrhoea is a
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bacterial infection STD - Neisseria gonorrhoeae
crosses amniotic membranes - infects babies |
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Gonorrhea clinical freatures
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3 - 10 day incubation
Men - urethritis, dysuria, mucopurilent discharge epididymis and prostrate chronic infection. spontaniously resolves itself 95% of time 6 months after infection. |
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Gonorrhea clinical freatures
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Women - mucopurilent discharge, pelvic pain, dysuria, intermenstural bleeding.
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Gonorrhea complications
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WOMEN
infertility. rectal infection, constipation, salpingitis, vulvonitis PID |
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Gonorrhea complications MEN
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Periurethral abscess
Narrowing/scarring of urethra urinary tract infections Kidney failure. |
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Gonorrhea complications BOTH SEXES
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infection/inflammation of repro tract.
Peritonitis Gonococcal arthritis |
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Gonorrhea evaluation/ treatment
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microscopic inspection of specimens
one off treament - Suprax |
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Syphilis stages
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Primary - begins at site of infection ~ hard painless lump.
Secondary - systemic develops six weeks after exposure. blood borne bacteria spread to body orgnans. |
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Syphilis stages
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latent - silent infection
transmission is possible tertiary - most severe significant morbidity and mortality. formation of gummas destructive skin, bone and soft tissue lesions - severe hypersensitivity reactivity. |
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Syphilis further complications
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cardiovascular complications - heart valve insufficiency H/F neurosyphilis develop.
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Syphilis investigation
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- cant be cultured in vitro.
- dark field microscopy of regional lymph node specimen |
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Chlamydial infection
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found in assoc with other pathogens 20 - 40% time.
intracelluar bacterium. |
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chlamydia clinical features
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asymtomatic 50% time
cervix common site discharge and post sex and spot bleeding abdo pain rish of PID. |
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chlamydia investigation
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tissue culture
immunoessay |
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viral STD's
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Genital Herpes -
Herpes simplex type 1 simplex herpes type 2 HPV |
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Genital herpes signs
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lesions on bum, penis, cervix labia minora
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