Term
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Definition
Gonorrhea
Chlamydia
Nongonococcal urethritis / mucopurulent cervicitis
Trichomonas vaginitis / urethritis
Candidiasis (vulvovaginal, less problems in men) |
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Term
increased risk of:
Preterm birth / premature rupture of membranes
Amniotic fluid infection
Chorioamnionitis / Postpartum endometritis
Pelvic inflammatory disease
Postsurgical infection
Cervical intraepithelial neoplasia
Mucopurulent cervicitis
Acquisition of HIV infection |
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Definition
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Term
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Definition
Chancroid
Genital herpes simplex |
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Term
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Definition
Syphilis
Lymphogranuloma venereum
Granuloma inguinale |
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Term
| Incubation: 10-90 days (average 3 weeks) |
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Definition
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Term
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Definition
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Term
Early: macule/papule erodes
Late: clean based, painless, indurated ulcer with smooth firm borders
Unnoticed in 15-30% of patients
Resolves in 1-5 weeks
HIGHLY INFECTIOUS |
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Definition
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Term
| Represents hematogenous dissemination of spirochetes |
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Definition
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Term
| Usually 2-8 weeks after chancre appears |
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Definition
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Term
rash - whole body (includes palms/soles)
mucous patches
condylomata lata - HIGHLY INFECTIOUS
constitutional symptoms |
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Definition
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Term
| Sn/Sx resolve in 2-10 weeks |
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Definition
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Term
| Angina, Aortic aneurysm, Argyll Robertson pupil Table Dorsalis |
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Definition
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Term
| Direct contact – may be with asymptomatic shedding |
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Definition
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Term
| Primary infection commonly asymptomatic; symptomatic cases sometimes severe, prolonged, systemic manifestations |
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Definition
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Term
| Vesicles painful ulcerations crusting |
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Definition
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Term
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Definition
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Term
Diagnosis:
Culture
Serology (Western blot)
PCR |
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Definition
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Term
| Transmission primarily from subclinical infection |
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Definition
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Term
| Complications: neonatal transmission, enhanced HIV transmission, psychosocial issues |
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Definition
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Term
Incubation: 1-14 d (usually 2-5 d)
Sx: Dysuria and urethral discharge (5% asymptomatic)
Dx: Gram stain urethral smear (+) > 98% culture |
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Definition
Urethritis - male
Gonorrhea |
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Term
Endocervical canal primary site
70-90% also colonize urethra
Incubation: unclear; sx usually in l0 d
Sx: majority asymptomatic; may have vaginal discharge, dysuria, urination, labial pain/swelling, abd. pain
Dx: Gram stain smear (+) 50-70% culture |
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Definition
Urogenital infection - female
Gonorrhea |
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Term
20-40% C. trachomatis
20-30% genital mycoplasmas (Ureaplasma urealyticum, Mycoplasma genitalium) |
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Definition
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Term
Sx: Mild dysuria, mucoid discharge
Dx: Urethral smear 5 PMNs (usually 15)/OI field |
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Definition
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Term
| Responsible for causing cervicitis, urethritis, proctitis, lymphogranuloma venereum, and pelvic inflammatory disease |
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Definition
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Term
Potential to transmit to newborn during delivery
Conjunctivitis, pneumonia |
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Definition
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Term
Tissue culture has been the standard
Specificity approaching 100%
Sensitivity ranges from 60% to 90% |
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Definition
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Term
CDC minimal criteria
uterine adnexal tenderness, cervical motion tenderness
Other symptoms include
endocervical discharge, fever, lower abd. pain |
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Definition
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Term
Complications:
Infertility: 15%-24% with 1 episode PID secondary to GC or chlamydia
7X risk of ectopic pregnancy with 1 episode PID
chronic pelvic pain in 18% |
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Definition
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Term
| infection is causally associated with cervical cancer and probably other anogenital squamous cell cancers (e.g. anal, penile, vulvar, vaginal) |
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Definition
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Term
| Over 99% of cervical cancers have ____ DNA detected within the tumor |
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Definition
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Term
| Routine Pap smear screening ensures early detection (and treatment) of pre-cancerous lesions |
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Definition
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