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19 Cards in this Set
- Front
- Back
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What STD is a gram negative diplococci and is more common in women?
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Gonorrhea
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What diagnosis technique revolutionized testing for STDs?
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Nucleic Acid amplification tests
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What is the other common gram negative bacteria that causes STDs?
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Chlamydia
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What is the most frequently reported STD in the US?
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Chlamydia
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Pelvic Inflammatory Disease consists of what 3 items?
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1. Endometritis (endometrium)
2. salpingitis (fallopian tube) 3. Oophoritis (ovary) |
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An upper genital tract infection consists of what?
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Infection of everything EXCEPT cervix
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What are the 3 minimum criteria for PID?
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1. Lower abdominal pain
2. Adnexal tenderness 3. Cervical motion tenderness |
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What are 2 main complications of acute PID?
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1. Ectopic Pregnancy
2. Infertility |
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What is the main treatment for PID?
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Broad spectrum antibiotics which are effective against Gonorrhea, chlamydia, as well as other endogenous vaginal flora
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Where does the discharge in Infective salpingitis (fallopian tube inflammation)?
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Comes from fallopian tubes then drips down
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What are the 3 courses in the progression from acute to chronic salpingitis?
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Several courses:
1. Fibrial ends remains patent 2. Spread to Ovary 3. Occlusion of the fimbriated end |
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What 3 items are seen when the fimbirial end remains patent?
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1. Chronict interstitial salpingitis
2. Tube thickened 3. PLicae fused together |
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What is seen when there is spread to ovary?
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Tubo-ovarian abscess
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What 3 items are seen when occlusion of the fimbriated end is seen?
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1. Prevents release of tubal content
2. Pyosalpinx 3. Exudate replaced by clear fluid --> hydrosalpinx |
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What is the pathologic definition of PID?
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Chronic salpingitis with involvement of surrounding structures including ovary and parametrium
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What is one of the most important sequelae of PID?
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Adhesions involving fallopian tubes, ovaries, and uterine serosa
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Do IUD's cause PID?
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NO
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What is an ectopic pregnancy?
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When implantation occurs outside of the uterine cavity
Tube, ovary, abdominal cavity |
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What is a predisposing factor to ectopic pregnancy?
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Impaired ability of tube to transport the fertilized ovum
(ie Post inflammatory damage of tube) |
