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Mucopurulent Cervicitis
Cervicitis Mucopurulent

Presentation

DIAGNOSIS DIFFERENTIAL DIAGNOSIS • Carcinoma of the cervix • Cervical erosion • Cervical metaplasia WORKUP The patient usually presents with a vaginal discharge or history of postcoital bleeding. [encyclopedia.lubopitko-bg.com]

[…] secretions did not show these associations, and the results indicated no difference in genital infections in women with clear cervical secretions whether or not more than 10 polymorphonuclear leucocytes per field (at a magnification of x 1000) were present [ncbi.nlm.nih.gov]

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]

Urogenital

  • Vaginal Discharge

    Vaginal discharge purity according to Schröder was significantly deteriorated in CT-positive patients (p=0.011). [ncbi.nlm.nih.gov]

    YouR PAtIEnt HAS... ...Vaginal discharge (in the absence of mucopurulent cervical discharge or other signs of cervicitis) Signs and symptoms Note that a diagnosis of mucopurulent cervicitis cannot be made in pregnant women due to normal increase in vaginal [glosbe.com]

    Signs of friability and purulent endocervical discharge were documented at gynaecological examination. Specimens for microscopy were taken from the endocervix and urethra as well as the vaginal discharge, and bacterial vaginosis was examined for. [diva-portal.org]

    An infected person can have yellow vaginal discharge, spotting with blood, redness of the cervix, pain with intercourse, and burning during urination. [mobieg.co.za]

    DIAGNOSIS DIFFERENTIAL DIAGNOSIS • Carcinoma of the cervix • Cervical erosion • Cervical metaplasia WORKUP The patient usually presents with a vaginal discharge or history of postcoital bleeding. [encyclopedia.lubopitko-bg.com]

  • Vaginal Bleeding

    Findings may include vaginal discharge, vaginal bleeding, and cervical erythema and friability. [merckmanuals.com]

    May be seen with easily induced cervical bleeding. Vaginal discharge and vaginal bleeding may occur. [iahealth.net]

    Symptoms of Cervicitis include Pain during sex, Difficult, painful and frequent urination, Pale yellow vaginal discharge and Abnormal vaginal bleeding. Statistical analysis of Cervicitis disease shows that M. genitalium was detected in 7% of women. [omicsonline.org]

  • Dyspareunia

    Cervicitis causes a nondescript discharge with deep dyspareunia Chlamydia may cause a purulent vaginal discharge, post-coital spotting, and deep dyspareunia. Gonorrhea may cause a purulent vaginal discharge and deep dyspareunia. [brooksidepress.org]

    Copious purulent or mucopurulent in vaginal discharge (Fig. 86), pelvic pain, and dyspareunia may be present if cervicitis is severe. The cervix can be erythematous and tender on palpation during bimanual examination. [encyclopedia.lubopitko-bg.com]

    Some women have dyspareunia, vulvar and/or vaginal irritation, and/or dysuria. [merckmanuals.com]

  • Cervical Motion Tenderness

    and the presence of > 30 WBCs per oil immersion field on cervical gram stain OR Signs of pelvic inflammatory disease, including cervical motion tenderness, uterine tenderness or adnexal tenderness. [clinicaltrials.gov]

    Bimanual pelvic examination: fornicial or cervical motion tenderness suggests PID. Investigations Gram’s stain of endocervical mucus: to document cervicitis and look for presence of GNID. [speciality.medicaldialogues.in]

    Findings that suggest a specific cause or other disorders include the following: Fever: PID or HSV infection Cervical motion tenderness: PID Vesicles, vulvar or vaginal pain, and/or ulceration: HSV infection Punctate hemorrhages (strawberry spots): Trichomoniasis [merckmanuals.com]

  • Postcoital Bleeding

    The cervix may also bleed easily when obtaining cultures or a Pap smear. May have postcoital bleeding. [encyclopedia.lubopitko-bg.com]

    bleeding 30-40% in STD clinics 8-10% in university student centers over 60% asymptomatic 40-60% no pathogen GROSS: yellow mucopurulent material Cervical Erythema/edema at ectopy w/ bleeding DDX: 1. [quizlet.com]

    History Part I: Pattern Recognition: Patients with cervicitis may present with abnormal discharge, intermenstrual bleeding or postcoital bleeding. [clinicaladvisor.com]

    Symptoms include increased vaginal discharge, dysuria, urinary frequency, and intermenstrual or postcoital bleeding. If the infection has been long standing, symptoms also can include low abdominal or low back pain. [csh.org.tw]

Workup

DIAGNOSIS DIFFERENTIAL DIAGNOSIS • Carcinoma of the cervix • Cervical erosion • Cervical metaplasia WORKUP The patient usually presents with a vaginal discharge or history of postcoital bleeding. [encyclopedia.lubopitko-bg.com]

(See Etiology and Workup.) [1] Signs of chlamydial cervicitis on speculum examination may include mucopurulent endocervical discharge and spontaneous or easily induced endocervical bleeding or any zones of ectopy. [emedicine.medscape.com]

Treatment

C. trachomatis eradication was satisfactory between both treatment regimens; 28 (93.3%) of the 30 women in chlamydia-positive form. [ncbi.nlm.nih.gov]

The purpose of this study is to evaluate the effectiveness of no treatment versus empiric treatment with a single dose of cefixime and azithromycin for cure of MPC. Empiric treatment is the initiation of treatment prior to a firm diagnosis. [clinicaltrials.gov]

Treatment Provide presumptive therapy for cervicitis (not to await the results of diagnostic tests). Treatment for cervical infection (chlamydia and gonorrhea) Tab cefixime 400 mg orally, single dose Plus. [speciality.medicaldialogues.in]

Prognosis

(ASCP) to prevent the consequences of untreated chlamydial infection (eg, PID, infertility, ectopic pregnancy, chronic pelvic pain). [18, 19, 20] Fewer than half of young, sexually active females in the United States are screened for chlamydia. [9] Prognosis [emedicine.medscape.com]

Prognosis and Patient Counseling. Women with cervicitis or PID should abstain from sexual intercourse until they have completed antibiotic therapy, their partners have been treated and both the patient and her partner are asymptomatic. [clinicaladvisor.com]

Etiology

Abstract The last decade has produced considerable advances in the diagnosis of the common etiologies of mucopurulent cervicitis (MPC), including Chlamydia trachomatis and Neisseria gonorrhoeae, and in the delineation of key aspects of their pathogenesis [ncbi.nlm.nih.gov]

This article focuses on the infectious etiologies of cervicitis. (See Etiology.) [emedicine.medscape.com]

If Trichomonas is the etiologic agent, treat with metronidazole 2-g single dose. For herpes, treat with acyclovir 200 mg PO five times daily for 7 days. DISPOSITION Cervicitis responds well to antibiotics. [encyclopedia.lubopitko-bg.com]

It has extended beyond the recognition of Chlamydia trachomatis and Neisseria gonorrhoeae as the prime etiologic suspects. [omicsonline.org]

Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]

Epidemiology

Epidemiology of genital chlamydia infections in Austria. In: Stary A Proceedings of the Third Meeting of the European Society for Chlamydia Research in Vienna; 11--14 Sep 1996. Vienna, 1996; p. 385. Herman A, Roach Z, Samra Z. [degruyter.com]

This article reviews the epidemiology and clinical presentation of common curable STDs acquired by adolescents and provides information on new diagnostic technologies and treatments for these STDs. [pedsinreview.aappublications.org]

#2 this probably had an epidemiological component to it Chlamydia is by far the MC bacterial cause of cervicitis in women #3 I think I remember reading somewhere that Chlamydia has mucopurulent discharge and Gonorrhea has purulent discharge... #4 I think [forums.studentdoctor.net]

Prevalence, epidemiological and clinical correlates of genital Chlamydia trachomatis infection. Journal of the European Academy of Dermatology and Venereology, 1998, 11 (3):214-20. 12. Claesys P et al. [eastern.mediterranean.scielo.org]

SYNONYMS Endocervicitis Ectocervicitis Mucopurulent cervicitis EPIDEMIOLOGY & DEMOGRAPHICS Cervicitis accounts for 22% to 28% of patients presenting with abnormal vaginal discharge, and this affects women only. [encyclopedia.lubopitko-bg.com]

Pathophysiology

Pathophysiology: Because the female genital tract is contiguous from the vulva to the fallopian tubes, there is some overlap between vulvo-vaginitis and cervicitis. [csh.org.tw]

Prevention

Centers for Disease Control and Prevention. Trichomoniasis – CDC fact sheet. Available at http://www.cdc.gov/std/trichomonas/STDFact-trichomoniasis.htm. Accessed: October 24, 2012. Centers for Disease Control and Prevention. [emedicine.medscape.com]

How can Mucopurulent cervicitis be prevented? Mucopurulent cervicitis can usually be prevented by not having sex with anyone (abstinence). [studenthealth.cofc.edu]

How do I prevent MPC? When you are sexually active, the best way to prevent MPC is to use condoms for oral, vaginal, and anal sex. Don’t have any sexual contact if you or your partner(s) have symptoms or may have been exposed to an STI. [myhealth.alberta.ca]

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]

Clinical preventive care guidelines, such as the Guidelines for Adolescent Preventive Services (GAPS), Bright Futures, and the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care, recommend screening adolescents for sexual [pedsinreview.aappublications.org]

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