Flashcards in Gonococcal Cervicitis Deck (9)
Patient with suspected gonococcal cervicitis – treatment? Complications?
IM ceftriaxone (for gonorrhea) + azithromycin (for chlamydia)
Saplingitis, disseminated gonorrhea
Most common organism?
Yellow exudative discharge arising from the endocervix with 10+ PMNs per high-powered field
Chlamydia (More so than gonorrhea)
Gonococcus and chlamydia have a propensity for what type of cell?
Columnar cells of the endocervix
It gonococcal cervicitis – expected cervical findings? Associated Symptoms?
Friable cervix; spotting
Dosing for cervicitis?
Gonorrhea – 125 to 250 mg of ceftriaxone IM
Chlamydia – Azithromycin 1 g orally or doxycycline 100 milligrams orally for 7-10 days
Extra GU sites of infection for gonorrhea?
Infectious arthritis – large joints
Disseminated gonorrhea – painful pustules with erythematous base on skin
Risk factors for salpingitis?
2. Previous gonorrhea or chlamydia infection
4. Anything that breaks down cervical barrier
Actinomyces in vagina signifies?
Nothing – normal flora