Women Health: Gynecological Infections Questions and Answers for Latest Edition

Women Health: Gynecological Infections Questions and Answers for Latest Edition What can cause cervicitis? - ***- gonorrhea - chlamydia - Trichomoniasis - HSV - HPV How to diagnose cervicitis? - ***Cervical friability Purulent cervical exudate Who is at greater risk of gonorrhea? - ***Women <25 yrs who are sexually active Do we report gonorrhea to health department? - ***Yes What is "the clap"? - ***Gonorrhea What are common clinical manifestations of gonorrhea? - ***- can be asymptomatic - purulent vaginal discharge - urinary frequency - dysuria - rectal pain - vaginal burning/itching What are uncommon symptoms of gonorrhea? - ***- acute pharyngitis - conjunctivitis - endocarditis and meningitis What are complications of gonorrhea? - ***- PID - Fitz-Hugh Curtis syndrome - Salpingitis - ectopic pregnancy - endocarditis - meningitis - pregnancy complications What causes gonorrhea? - ***Neisseria gonorrhoeae What is Neisseria gonorrhoeae? - ***Gram negative diplococci which causes gonorrhea (think Gonorrhea=Green) What is used to diagnose gonorrhea? - ***NAAT- genital swab What is the drawback of NAAT test for gonorrhea? - ***Does not test for sensitivity How do we treat gonorrhea? - ***- cover for gonorrhea prior to results - ceftriaxone IM once (500mg <150kg and 1g IM >150kg) - if cephalosporin allergy—> gentamicin IM (240mg) and azithromycin (2g PO) What is most commonly reported infectious diseases in US? - ***Chlamydia Who has an increased risk of chlamydia? - ***People with multiple sexual partners and lower socioeconomic status What are the clinical manifestations of chlamydia? - ***- women commonly are asymptomatic - mucopurulent vaginal discharge