Presentation
Accordingly, this two-volume comprehensive presentation of infectious diseases involving the male and female reproductive systems promises to be a major contribution in this field and to fill a much-needed vacuum. [books.google.com]
Clinical Presentation in Females Endocervix infection is the most common presentation in women Present with vaginal discharge and Dysuria Infection and abscess of Bartholin and Skene’s glands 16. [slideshare.net]
Present on Admission symbol identifies the diseases that will always be coded as present on admission. Hospital Acquired Condition symbol notes specific conditions that will always be coded as hospital acquired. UNIQUE! [books.google.de]
Critical Essential Core Tested Community Questions (8) (M2.GN.4826) A 26-year-old female presents to her gynecologist complaining of increased vaginal discharge for several days. [medbullets.com]
Two scenarios are presented, based on the history physical examination findings. [canada.ca]
Respiratoric
- Aspiration
The joints will be swollen and warm, and a joint aspiration will detect more than 40,000 leukocytes per mm 3 (40 × 10 9 per L) and contain gram-negative intracellular diplococci. [aafp.org]
Positive Gram-stained smears of exudate, CSF, or joint aspirate provide a presumptive basis for initiating treatment for N. gonorrhoeae. [cdc.gov]
- Rhinitis
Less severe manifestations include rhinitis, vaginitis, urethritis, and infection at sites of fetal monitoring. [cdc.gov]
Gastrointestinal
- Lower Abdominal Pain
For Gonococcal infection the most common Symptoms may include: yellowish or bloody vaginal discharge, painful or burning urination, vaginal bleeding during intercourse and lower abdominal pain during intercourse. [drashrafsabry.com]
Fever usually accompanies this extension, and lower abdominal pain is a prominent symptom. Pelvic abscess or peritonitis may result. The symptoms can be confused with those of appendicitis. [britannica.com]
[…] intercourse) Mild lower abdominal pain If the infection progresses to pelvic inflammatory disease (PID), symptoms may include the following: Lower abdominal pain: Most consistent symptom of PID Increased vaginal discharge or mucopurulent urethral discharge [emedicine.medscape.com]
Symptoms of cervicitis vary and may include a nonspecific vaginal discharge, intermenstrual bleeding, dysuria, lower abdominal pain, and dyspareunia. [std.uw.edu]
Musculoskeletal
- Arthritis
Other causes of conjunctivitis, urethritis and arthritis should be considered in the differential diagnosis. This would include Reiter's syndrome, septic arthritis and septicaemia. Bacteriology provides the definitive diagnosis. [ispub.com]
Neisseria gonorrhoeae may disseminate from mucosal surfaces via the bloodstream and produce arthriti... Disseminated gonorrhea: pustule with hemorrhagic base and necrotic center. [5minuteconsult.com]
Arthritis Gonorrhea is the most common cause of arthritis in the adolescent. However, arthritis (septic or reactive) is a rare complication of this disease. [emedicine.medscape.com]
[…] iridocyclitis A54.33 Gonococcal keratitis A54.39 Other gonococcal eye infection A54.4 Gonococcal infection of musculoskeletal system A54.40 Gonococcal infection of musculoskeletal system, unspecified A54.41 Gonococcal spondylopathy A54.42 Gonococcal arthritis [healthprovidersdata.com]
Treatment of Arthritis and Arthritis-Dermatitis Syndrome Recommended Regimen Ceftriaxone 1 g IM or IV every 24 hours PLUS Azithromycin 1 g orally in a single dose Alternative Regimens Cefotaxime 1 g IV every 8 hours OR Ceftizoxime 1 g IV every 8 hours [cdc.gov]
Skin
- Erythema
Findings may include vaginal discharge, vaginal bleeding, and cervical erythema and friability. [msdmanuals.com]
Pruritis Dysuria Erythema Bleeding Symptoms may be present for a long period before the child is brought in for evaluation and the acute onset of symptoms is often associated with an acute infection or abuse. [pedclerk.bsd.uchicago.edu]
Folliculitis Lichen sclerosus Furuncles Erosive lichen planus Abscess Erosive vaginitis Streptococci Plasma cell vulvitis Erysipelas Lupus erythematosus Drug eruption Gram negative cocci Gonococcal vulvovaginitis Vesicobullous disorders Including pemphigus, erythema [nps.org.au]
The anorectal mucosa may appear normal, but purulent discharge, erythema, or easily induced bleeding may be observable under anoscopy. [std.uw.edu]
- Eruptions
Gram positive cocci Staphylococcus aureus Lichenoid reactions (epidermal basal layer damage) Folliculitis Lichen sclerosus Furuncles Erosive lichen planus Abscess Erosive vaginitis Streptococci Plasma cell vulvitis Erysipelas Lupus erythematosus Drug eruption [nps.org.au]
The eye, urethral discharge and skin eruptions all subsided on treatment with Ceftriaxone. No topical antibiotics were used but daily cleansing of the eyes with normal saline solution was prescribed. [ispub.com]
Urogenital
- Pelvic Pain
If left untreated, gonnorhea infections can lead to serious conditions such as pelvic inflammatory disease (PID), which increases a female’s risk of infertility, pelvic adhesions, chronic pelvic pain, and ectopic (tubal) pregnancy. [columbiadoctors.org]
For Gonococcal Vaginitis if left untreated, Gonococcal infections can lead to serious conditions such as pelvic inflammatory disease increasing risk of infertility, pelvic adhesions, chronic pelvic pain, and ectopic (tubal) pregnancy. [drashrafsabry.com]
If left untreated, chlamydia often leads to pelvic inflammatory disease (PID), which increases a woman's risk of infertility, pelvic adhesions, chronic pelvic pain, and ectopic pregnancy. [wwwpediatrics.med.miami.edu]
[…] adhesions, chronic pelvic pain, and ectopic (tubal) pregnancy. [stanfordchildrens.org]
Complications Pelvic Inflammatory Disease Pyosalpinx Tubo-ovarian absecess Pelvic Abscess Hydrosalpinx Infertility Menstrual Disturbances Chronic Pelvic Pain Dysmenorrhoea Dyspareunia Treatment ( Consult your Doctor for the latest drug Regimes and Dosages [medifile.blogspot.com]
- Dyspareunia
Complications Pelvic Inflammatory Disease Pyosalpinx Tubo-ovarian absecess Pelvic Abscess Hydrosalpinx Infertility Menstrual Disturbances Chronic Pelvic Pain Dysmenorrhoea Dyspareunia Treatment ( Consult your Doctor for the latest drug Regimes and Dosages [medifile.blogspot.com]
Some women have dyspareunia, vulvar and/or vaginal irritation, and/or dysuria. [msdmanuals.com]
Physical exam thick, white, odorless, and curd-like vaginal discharge vulvar erythema and edema Trichomoniasis Trichomonas vaginalis Symptoms malodo rous greenish discharge burning dyspareunia and dysuria postcoital bleeding Physical exam malodorous [medbullets.com]
Dyspareunia can result from a combination of coital physical, chemical and biological trauma. Recurrent candidiasis is an undoubted problem and the vast majority of sufferers are healthy women. [nps.org.au]
FEMALE INFECTIONS In women, common symptoms include odorless vaginal discharge; vaginal bleeding, particularly after intercourse; and dyspareunia. [aafp.org]
- Urethral Discharge
Case 2 An otherwise healthy 42-year-old man developed urethral discharge with a burning sensation on micturition. He later noticed a similar bilateral purulent discharge from his eyes and consulted. [ispub.com]
Fig. 17-10 Urethral discharge associated with gonorrhea. This discharge may vary in color and copiousness and is accompanied by burning during urination. Fig. 17-10 Urethral discharge associated with gonorrhea. [5minuteconsult.com]
The first symptoms in the male are a burning sensation upon urination and a purulent urethral discharge that may be profuse or may be so meagre as to go unnoticed. [britannica.com]
[…] major genitourinary symptoms of gonorrhea include the following: Urethritis: The major manifestation of gonococcal infection in men; initial characteristics include burning upon urination and a serous discharge; a few days later, the discharge usually [emedicine.medscape.com]
Workup
(See Pathophysiology, Prognosis, Presentation, and Workup.) Gonococcal infections following sexual and perinatal transmission are a major source of morbidity worldwide. [emedicine.medscape.com]
Treatment
What are the treatments for vaginitis? The treatment depends on which type of vaginitis you have. BV is treatable with antibiotics. You may get pills to swallow, or cream or gel that you put in your vagina. [icdlist.com]
[…] of treatment ( 1 ). [cdc.gov]
Despite this general attitude, there were some doctors who persevered in their attempts to understand the causes and discover treatments for syphilis and other sexually transmitted diseases. [books.google.de]
Six months continuous treatment is recommended. [nps.org.au]
Objectives of Treatment: To determine the cause: Cytologic examination of cervical smear. To eradicate the gonococcus: Use well-done fever treatments. [ucheepines.org]
Prognosis
Expectations (prognosis) Proper treatment of an infection is usually very effective. [coordinatedhealth.com]
(See Pathophysiology, Etiology, and Prognosis, and Treatment.) [emedicine.medscape.com]
Prognosis The prognosis for patients with gonorrhea varies based on how early the disease is detected and treated. If treated early and properly, patients can be entirely cured of the disease. [medical-dictionary.thefreedictionary.com]
[…] pathogenesis disruption of this acidic environment results in vaginitis disruptive causes include menstruation sexual activity pregnancy foreign bodies sexually transmitted disease hygienic products antibiotics hypoestrogenic states ( e.g., menopause) Prognosis [medbullets.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
May try topical antibiotics or low potency steroids If there is any suspicion of abuse, cultures should be obtained with the proper culture media to try to delineate a specific etiology. References Kokotos, Faye, and Henry M. Adam. Vulvovaginitis. [pedclerk.bsd.uchicago.edu]
Manifestation code symbol spotlights certain conditions for which it is important to record the etiology (cause) and the manifestation (symptom) of the disease. [books.google.de]
Shah, MD, MSCE Reviewed 10/2018 Neisseria gonorrhoeae, an aerobic gram-negative diplococcus, is the etiologic agent of gonorrhea. Gonorrhea is the second most common sexually transmitted infection (STI)... [5minuteconsult.com]
[…] partners antibiotic use intrauterine contraceptive device trichomoniasis multiple sexual partners history of sexually transmitted infections vulvovaginal candidiasis immunosuppression ( e.g., transplant patients and HIV infection) uncontrolled diabetes Etiology [medbullets.com]
Epidemiology
Epidemiological investigations showed that contaminated fomites--particularly bedclothing, underclothing, and towels--and precocious sexual intercourse were the important vehicles of transmission of gonococci to the genital tract of these children. [ncbi.nlm.nih.gov]
Epidemiology Causative Organism : Neisseria gonorrhoea Incubation Period : 2 to 10 days Pathogenesis The organisms attach to the glands of Skene, Bartholin, Urethra and it Glands, Cervix and fallopian tubes. [medifile.blogspot.com]
Epidemiology Neisseria gonorrhoeae is an oxidase-positive diplococcus that grows in warm, moist environments. [pedsinreview.aappublications.org]
[…] bacteremia in the arthritis and dermatitis syndrome; endocarditis and meningitis; other complications include perihepatitis and neonatal amnionitis; death is rare except among those with endocarditis; reinfection is common despite development of antibodies EPIDEMIOLOGY [msdsonline.com]
Introduction Clinical definition vaginal disorder secondary to infection in very rare cases, it may be caused by Enterobius vermicularis inflammation changes in normal vaginal flora Epidemiology risk factors bacterial vaginosis multiple sexual partners [medbullets.com]
Pathophysiology
(See Pathophysiology, Etiology, and Prognosis, and Treatment.) [emedicine.medscape.com]
Prevention
/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 15% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 0% Also called [medicbind.com]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]
PREVENTING VAGINITIS You can take steps to prevent episodes of vaginitis. [healthfit24.com]
Prevention Use of a condom during sexual intercourse can prevent most sexually transmitted vaginal infections. [coordinatedhealth.com]