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Flashcards in Gonococcal Cervicitis Deck (9)
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Patient with suspected gonococcal cervicitis – treatment? Complications?

IM ceftriaxone (for gonorrhea) + azithromycin (for chlamydia)

Saplingitis, disseminated gonorrhea

1

Mucopurulent cervicitis?

Most common organism?

Yellow exudative discharge arising from the endocervix with 10+ PMNs per high-powered field

Chlamydia (More so than gonorrhea)

2

Gonococcus and chlamydia have a propensity for what type of cell?

Columnar cells of the endocervix

3

It gonococcal cervicitis – expected cervical findings? Associated Symptoms?

Friable cervix; spotting

4

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

5

Extra GU sites of infection for gonorrhea?

Infectious arthritis – large joints

Disseminated gonorrhea – painful pustules with erythematous base on skin

6

Risk factors for salpingitis?

1. IUD
2. Previous gonorrhea or chlamydia infection
3. Surgery
4. Anything that breaks down cervical barrier

7

Actinomyces in vagina signifies?

Nothing – normal flora

8

Sexually-transmitted pharyngitis – cause? Linked with what activity? Typical course of the disease?

Pathophysiology?

Gonorrhea; oral sex; typically no symptoms until disease disseminates


Pili allows gonococcal bacteria to adhere to surface of columnar epithelium and throat (chlamydia does not have the pili)