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3 Cards in this Set
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Pelvic Inflammatory Disease (PID)
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Comprises: Endometritis, Salpingitis, oophoritis, tubo-ovarian abscess, pelvic peritonitis,
Risk Factors: + G/C infection, +BV, multiple partners, douching; use of diaphragm or cervical cap with spermicide and condoms Possible Sequelae: infertility due to tubal scarring/adhesions, ectopic pregnancy, chronic lower abdominal pain due to pelvic adhesions, increase susceptibility to reoccurency S/S: mild to severe lower abdominal/pelvic pain, mucupurlent discharge; dysuria frequency and urgency if urethra involved; metrorrhagia; fever >101 degrees Treat empirically if has cervical motion tenderness or uterine/adnexal tenderness with no other cause for pain and is sexually active. |
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Gonorrhea
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Often co-exists with chlamydia and sometimes with Trich
Infection can involve: urethra, skene's and Bartholin's glands, vulva, vagina, cervix, endometrium, Fallopian tubes, ovaries, pertonium, rectum, conjunctiva of eyes, oral mucousa, joints Can cause PID - tubal scarring - ectopic pregnancy In pregnancy - can cause premature ROM, labor and birth, infection PP. If transmitted to baby can cause opthalmia - blindness Can cause infertility Asymptomatic start S/S: -lower abdominal pain, urethral tenderness, dysuria, urinary frequency, purulent discharge from Skene's and Bartholen's glands or urethra, tender S & B glands -Acute PID - metrohaggia or menorrhagia -Yellowish, purulent or mucopurulent vaginal discharge Diagnosis by culture Treatment: ABX, treat partner as well |
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Chlamydia
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Can co-exist with trich, candida, gonorrhea, and others
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