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26 Cards in this Set

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Gonorrhea (GC)

is caused by a bacterium (Neisseria gonorrhoeae) - usually requires direct mucosal contact - it can cause urethritis, cervicitis, and PID

Gonococci

can ascend into the uterus and fallopian tubes during menses - when the cervical mucus plug disappears or by adhering to sperm and being transported higher

Gonorrhea in males causes

dysuria and mucopurulent discharge

Gonnorrhea in females

there is usually a mucopurulent vaginal discharge arising from the cerivical os, friability of the cervix, dysuria, and pain with sex

Chlamydia (CT)

is caused by a tiny bacterium called Chlamydia trachomatis - it is the most common bacterial sexually transmitted infection in the United States

Chlamydia in males causes

non-gonococcal urethritis

Chlamydia in females causes

cervicitis and PID

About how many Chlamydia infections are asymptomatic?

75% - untreated infections can cause infertility due to damage to the fallopian tubes

Syphilis

in not very common - it is caused by an anerobic bacterium called Treponema palladium

Syphilis can be passed

from an infected mother to the fetus - so the RPR test for syphilis is a routine part of the obstetrical lab panel

Stage I syphilis (primary)

is a local invasion causing penile or vulvar sore called a chancre

Stage II syphilis (secondary)

is a systemic disease - with spread to all organs

Stage III syphilis (latent)

has no clinical symptoms of the infection but transmission of the infection can occur

Stage IV syphilis (tertiary)

is when organ damage and neurological disease occurs - can result in death

Trichomonas vaginalis

is caused by flagellated protozoa

What are the symptoms of trichonoman vaginalis?

it can be asymptomatic - but usually causes a profuse vaginal discharge and itching in females and urethritis in males - it is difficult to diagnose in males so if the female is diagnosed her partner should be treated as well

Genital herpes

is caused by the Herpes simplex virus (HSV)

HSV I

oral herpes

HSV II

are genital herpes

What happens with herpes virus

the virus invades the epithelial cells and replicates and then invades adjacent cells - it eventually invades the sensory nerves and is transported to the sacral sensory dorsal nerve roots where is can remain latent until it is reactivated - when it is reactivated the viral DNA is transported back through the sensory nerves to the same on the skin where the initial lesion occurred

Genital warts (condylomata)

some strains of the HPV viruses can cause them - Types 6 and 11 are associated with most of the infections

Molluscum contagiosum

is cause by a viral infection and requires direct skin-to-skin contact - it causes a small papule to form with a depressed center - white waxy discharge can be expressed from them - they usually disappear spontaneously after several months but can be cut off, frozen off, or cauterized with silver nitrate

Pelvic Inflammatory Disease (PID)

is an acute infection caused by an ascending infection involving the tubes and/or ovaries -

What are the other names used simultaneously with PID

salpingitis and oophorits

What causes PID

chlamydia or gonorrhea infections but can also be caused by other bacteria - often in combination (such as gardnerella, haemophilus, streptococci, ureaplasma, and mycoplasma, and even E. coli

PID causes inflammation in the tubes

which can lead to infertility and ectopic pregnancy