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]
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]
[…] 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]
Entire Body System
- Pain
Symptoms Although MPC sometimes comes with no signs or symptoms, for women it can cause bleeding during or after sex, unusual vaginal discharge, spotting between periods, lower abdominal pain or pain during sex. [mobieg.co.za]
If you do have symptoms, they may include: Women Discharge (drip, pus) from the vagina or anus Bleeding between periods Burning or pain when urinating Pain in the lower belly, lower back pain Anal/rectal pain and itching Sore throat Men Discharge (drip [knowmystatus.org]
Although MPC sometimes comes with no signs or symptoms, for women it can cause bleeding during or after sex, unusual vaginal discharge, spotting between periods, lower abdominal pain or pain during sex. [beforeplay.org]
Advanced Search: • Use “ “ for phrases o [ “pediatric abdominal pain” ] • Use – to remove results with certain terms o [ “abdominal pain” –pediatric ] • Use OR to account for alternate terms o [teenager OR adolescent ] A Á B C D E F G H I Í J K L M N [merckmanuals.com]
- Inflammation
Despite this, clear understanding of why these bacteria cause cervical inflammation in a minority of women who is infected with either organism is limited. [ncbi.nlm.nih.gov]
Clinical Description Cervical inflammation that is not the result of infection with Neisseria gonorrhoeae or Trichomonas vaginalis. [wwwn.cdc.gov]
Cervicovaginitis The term cervicovaginitis refers to inflammation of the squamous epithelium of the vagina and cervix. [screening.iarc.fr]
Following are the major recommendations : Introduction Symptoms Asymptomatic in majority Abnormal vaginal discharge in some Post coital and intermenstrual vaginal bleed Case definition An inflammation of the cervical mucosa characterized by two major [speciality.medicaldialogues.in]
Cervicitis (inflammation of the cervix) is considered the female equivalent of non-specific urethritis (NSU), although it may be a finding on clinical examination. Cervicitis is defined as >30 WBC/HPF, plus inflammation and/or a discharge. [ww2.health.wa.gov.au]
- Swelling
Painful or frequent urination Itching and/or burning around the opening of the penis Pain or swelling of the testicles Read more about chlamydia | Download the chlamydia fact sheet Gonorrhea Most women and many men with gonorrhea have no symptoms. [knowmystatus.org]
Speculum examination showing signs of cervical infection like yellowish discharge, redness with swelling, easy bleeding on probing cervix, cervical erosion to be assessed. [speciality.medicaldialogues.in]
[…] considered if follow-up is uncertain) If LGV is suspected, treat empirically according to the recommendations in Lymphogranuloma Venereum chapter See Genital Ulcer Disease chapter for treatment recommendations Epididymitis Unilateral testicular pain/swelling [canada.ca]
[…] engage in high-risk sexual behavior or have had an STI can increase the likelihood of contracting cervicitis. [1] Diagnosis [ edit ] To diagnose cervicitis, a physician will perform a pelvic exam to look for discharge from or redness in the cervix, and swelling [en.wikipedia.org]
They will insert a speculum and observe your cervix, making note of any redness, ulcerations, inflammation, swelling, or abnormal discharge. 3 Schedule lab tests. [wikihow.com]
- Disability
Please enable JS and disable any ad blocker [contemporaryobgyn.modernmedicine.com]
Respiratoric
- Tachypnea
Characteristic signs of chlamydial pneumonia in infants include a repetitive staccato cough with tachypnea and hyperinflation and bilateral diffuse infiltrates on a chest radiograph. Wheezing is rare, and infants are typically afebrile. [atsu.edu]
Gastrointestinal
- Abdominal Pain
Advanced Search: • Use “ “ for phrases o [ “pediatric abdominal pain” ] • Use – to remove results with certain terms o [ “abdominal pain” –pediatric ] • Use OR to account for alternate terms o [teenager OR adolescent ] A Á B C D E F G H I Í J K L M N [merckmanuals.com]
[…] itching or abdominal pain. [emedicinehealth.com]
Although MPC sometimes comes with no signs or symptoms, for women it can cause bleeding during or after sex, unusual vaginal discharge, spotting between periods, lower abdominal pain or pain during sex. [beforeplay.org]
Mycoplasma hominis Ureaplasma urealyticum Males: -urethral discharge -burning on urination -irritation in the distal urethra or meatus -unexplained pyuria Females: -genital discharge -lower abdominal pain of recent onset -intermenstrual bleeding -purulent [glosbe.com]
According to obstetrician-gynaecologist (ObGyn) Dr Ryan Halsall, mucopurulent cervicitis oftentimes results in bleeding during or after sex, unusual vaginal discharge, spotting between periods, lower abdominal pain, or pain during sex. [jamaicaobserver.com]
- Overeating
This edition features more than 1,300 illustrations—over 900 in full color—depicting anatomy, pathology, instruments, and step-by-step operative techniques. [books.google.com]
Save over 20% compared to the individual article price. [karger.com]
In many cases, especially in women over the age of 30, no organism is isolated as the cause of the cervicitis. [clinicaladvisor.com]
- Lower Abdominal Pain
Although MPC sometimes comes with no signs or symptoms, for women it can cause bleeding during or after sex, unusual vaginal discharge, spotting between periods, lower abdominal pain or pain during sex. [beforeplay.org]
Mycoplasma hominis Ureaplasma urealyticum Males: -urethral discharge -burning on urination -irritation in the distal urethra or meatus -unexplained pyuria Females: -genital discharge -lower abdominal pain of recent onset -intermenstrual bleeding -purulent [glosbe.com]
According to obstetrician-gynaecologist (ObGyn) Dr Ryan Halsall, mucopurulent cervicitis oftentimes results in bleeding during or after sex, unusual vaginal discharge, spotting between periods, lower abdominal pain, or pain during sex. [jamaicaobserver.com]
Symptoms Although MPC sometimes comes with no signs or symptoms, for women it can cause bleeding during or after sex, unusual vaginal discharge, spotting between periods, lower abdominal pain or pain during sex. [mobieg.co.za]
abdominal pain, back ache, pruritus, itching, and dyspareunia. [screening.iarc.fr]
- Constipation
Intestinal and Enteric Syndromes: Proctitis Proctocolitis Enteritis Varies according to specific syndrome : Mucopurulent rectal discharge Anorectal pain Constipation Bloody stools Diarrhea Nausea Abdominal pain/cramps Bloating Fever Varies according to [canada.ca]
Skin
- Pruritus
The inflammatory lesions are associated with mucopurulent, seropurulent, white or serous discharge and symptoms such as lower abdominal pain, backache, pruritus, itching and dyspareunia. [screening.iarc.fr]
[…] stain, wet mount, PH test and whiff test, see Pelvic Inflammatory Disease chapter Vaginal Discharge and Low Risk for STIs (for risk factors) see Primary Care and Sexually Transmitted Infections chapter) Vaginal discharge Vaginal odour Vaginal/vulvar pruritus [canada.ca]
[…] postpartally, however, consideration may be given to using topical liquid nitrogen qwk or surgical treatments (eg, excision, electrocauterization, laser vaporization); avoid contact with genital mucous membranes; burning, pain, inflammation, erosion, and pruritus [csh.org.tw]
T vaginalis can have a characteristic "frothy" gray or yellow-green vaginal discharge and pruritus. The occurrence of cervical petechiae, or "strawberry cervix," is a classic presentation that is seen in less than 2% of cases. [emedicine.medscape.com]
Infections. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5614a3.htm Management of male patients who have urethritis - Urethritis is an infection characterized by urethral discharge of mucopurulent or purulent material and sometimes by dysuria or urethral pruritus [atsu.edu]
- Blister
Symptoms may include: Sores, bumps, blisters, or a rash in the genital area Pain or itching around the genitals, buttocks, or legs Itching or burning during urination Swollen lymph nodes in the groin Fever, headache, or fatigue This first “outbreak” of [knowmystatus.org]
Genital Herpes Symptoms Specific signs and symptoms of herpes in women include tiny, fluid-filled blisters (vesicles) on the vulva and vaginal opening. In a majority of females, inflammation of the cervix is involved (cervicitis). [emedicinehealth.com]
Musculoskeletal
- Low Back Pain
When symptoms do occur they may include: Low back pain Abdominal pain Pain during intercourse Vaginal itching Burning during urination Cervicitis is a very common condition. [emedicinehealth.com]
If the infection has been long standing, symptoms also can include low abdominal or low back pain. Infection with human papilloma virus often is asymptomatic because the genital warts often are flat and internal. [csh.org.tw]
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]
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]
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]
- 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]
- Pelvic Pain
‘Chlamydial infection can cause urethritis, cervicitis, pelvic inflammatory disease, and result in ectopic pregnancy, infertility, and chronic pelvic pain in women.’ [en.oxforddictionaries.com]
Infection caused by harmful bacteria can spread from the cervix up into the uterus and out into the fallopian tubes causing pelvic inflammatory disease (PID). This condition may lead to chronic pelvic pain or may make it very difficult to conceive. [studenthealth.cofc.edu]
Read more about IUDs PID: Mild Gradual onset of mild bilateral pelvic pain with purulent vaginal discharge is the typical complaint. [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]
A purulent or abnormal vaginal discharge associated with pain or itching. Difficult or painful urination. Increased urinary frequency. Pelvic pain Bleeding or spotting after sexual intercourse or between periods. [emedicinehealth.com]
- 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]
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]
Cervicitis may be a sign of an upper genital-tract infection making it important to assess for pelvic inflammatory disease (PID), particularly in the context of uterine tenderness, adnexal tenderness, or cervical motion tenderness on pelvic exam. [stiplus.com.au]
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]
Microbiology
- Chlamydia
Chlamydia trachomatis was initially isolated from 31% of men and 39% of women. Men with a positive smear had a higher symptom/sign score (P < 0.001) and were more likely to have chlamydia (P = 0.004). [ncbi.nlm.nih.gov]
[…] inflammatory disease in women; or gonorrhea in either) or because they had a partner with suspected or confirmed chlamydia infection. [acronymfinder.com]
- Chlamydia Trachomatis
Chlamydia trachomatis, the most common single agent associated with mucopurulent cervicitis, was isolated from 30 (47%) and Neisseria gonorrhoeae from five (8%) of 64 patients. [ncbi.nlm.nih.gov]
Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae genital infections in a publicly funded pregnancy termination clinic: empiric vs. indicated treatment? Contraception 2008;78:328--31. [degruyter.com]
- Neisseria Gonorrhoeae
Chlamydia trachomatis, the most common single agent associated with mucopurulent cervicitis, was isolated from 30 (47%) and Neisseria gonorrhoeae from five (8%) of 64 patients. [ncbi.nlm.nih.gov]
Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae genital infections in a publicly funded pregnancy termination clinic: empiric vs. indicated treatment? Contraception 2008;78:328--31. [degruyter.com]
- Human Papillomavirus
Health & Environmental Research Online (HERO) Print Feedback Export to EndNote Citation Tags Reference Type Journal Article Title Detection of human papillomavirus genotypes associated with mucopurulent cervicitis and cervical cancer in Changchun, China [hero.epa.gov]
OBJECTIVE: To determine the prevalence and genotype distribution of human papillomavirus (HPV) infection among Chinese patients with mucopurulent cervicitis (MPC) or cervical cancer (CC). [ncbi.nlm.nih.gov]
(HPV) Human papillomavirus (HPV) infection is the most common STD in the U.S. [knowmystatus.org]
ETIOLOGY • Chlamydia • Trichomonas • Neisseria gonorrhoeae • Herpes simplex • Trichomonas vaginalis • Human papillomavirus DON'T FORGET - KNOWLEDGE IS EVERYTHING! BASIC INFORMATION DEFINITION Cervicitis is an infection of the cervix. [encyclopedia.lubopitko-bg.com]
Asymptomatic and at Risk for STIs (see Primary Care and Sexually Transmitted Infections chapter) None Neisseria gonorrhoeae Chlamydia trachomatis Treponema pallidum Herpes simplex virus type 1 or 2 Human papillomavirus HIV Viral hepatitis First-catch [canada.ca]
- Candida
Common infectious organisms responsible for such lesions include protozoan infections with Trichomonas vaginalis; fungal infections such as Candida albicans; overgrowth of anaerobic bacteria (Bacteroides, Peptostreptococcus, Gardnerella vaginalis, Gardnerella [screening.iarc.fr]
N. gonorrhoeae, C. trachomatis HSV, M. hominis, Ureaplasma urealyticum, and Gardnerella vaginalis were detected by culture; T. vaginalis and Candida species, by culture and wet-mount microscopy; and BV, defined by Amsel’s criteria [ 23 ], as described [academic.oup.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]
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
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]
(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]
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]
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]
Disease-oriented chapters include etiology, differential diagnosis, history, physical examination, laboratory and imaging studies, treatment, and special considerations during pregnancy. [books.google.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]
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]
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]
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
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]
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]