Presentation
In these situations, a doctor may prescribe one or more antibiotics that are likely to cure infection that may be present. [webmd.com]
Satellite vaginal pustules are sometimes present in patients with vaginal candidiasis, and grouped painful vesicles and tender inguinal adenopathy may be present in patients with genital herpes. [aafp.org]
Improve your interpretation of presenting symptoms with 38 new topics and 40 new images in the Differential Diagnosis section, and optimize patient care with more than 250 new figures and tables. [books.google.com]
Urine cultures are over-used in evaluating patients with cystitis; for young woman with symptoms who are presenting with an initial presentation consistent with cystitis and without concern for complications, empiric antibiotic treatment can be done without [cancertherapyadvisor.com]
Entire Body System
- Pain
Anterior Hip Medial Thigh Knee 288 Joint Pain Hip Lateral Thigh 289 Joint Pain Polyarticular 290 Jugular Venous Distention 291 Kawasakis Disease 292 Kidney Enlargement Unilateral 293 Knee Pain in Different Age Groups 294 Korsakoffs Psychosis 295 Lactose [books.google.com]
You may have a UTI if you notice Pain or burning when you urinate Fever, tiredness, or shakiness An urge to urinate often Pressure in your lower belly Urine that smells bad or looks cloudy or reddish Pain in your back or side below the ribs People of [icdlist.com]
In addition, urethritis symptoms include: frequent or urgent need to urinate difficulty starting urination itching, pain or discomfort when not urinating pain during sex vaginal or urethral discharge abdominal and pelvic pain fever and chills Diagnosing [beaumont.org]
In addition to pain, urethritis symptoms include: Feeling the frequent or urgent need to urinate Difficulty starting urination Urethritis can also cause itching, pain, or discomfort when a person is not urinating. [webmd.com]
- Candidiasis
Prolonged (3-month) mycological cure rate after boric acid suppositories in diabetic women with vulvovaginal candidiasis. J Infect. 2007 Oct;55(4):374-7. Epub 2007 Aug 10. 9. Andreeva P, Dimitrov A. [passeportsante.net]
"Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America". Clinical Infectious Diseases. 62 (4): e1–50. doi : 10.1093/cid/civ933. PMC 4725385. [en.wikipedia.org]
A609Anogenital herpesviral infection, unspecified A638Other specified predominantly sexually transmitted diseases A64Unspecified sexually transmitted disease B260Mumps orchitis B3741Candidal cystitis and urethritis B3742Candidal balanitis B3749Other urogenital candidiasis [cms.gov]
Vaginal infections are composed of three primary conditions: bacterial vaginosis, vulvovaginal candidiasis, and trichomonas. [diki.pl]
B37.0 Candidal stomatitis B37.1 Pulmonary candidiasis B37.2 Candidiasis of skin and nail B37.3 Candidiasis of vulva and vagina B37.4 Candidiasis of other urogenital sites B37.41 Candidal cystitis and urethritis B37.42 Candidal balanitis B37.49 Other [eicd10.com]
- Lymphadenopathy
Leg Ulcers 300 LeggCalvéPerthes Disease 301 Leptomeningeal Lesions 302 Leukoplakia Oral Hairy Oral Hairy Cell Leukoplakia 303 Lichen Simplex Chronicus 304 Listeriosis 305 Liver Lesions Benign Often Confused with Malignancy 306 Lumbar Disk Syndrome 307 Lymphadenopathy [books.google.com]
Urethritis caused by HSV or adenovirus is associated with insertive oral sex among men who have sex with men. 15 Diagnosis Men presenting with urethral symptoms should be examined for inguinal lymphadenopathy, ulcers, or urethral discharge. [aafp.org]
Secondary syphilitic iridocyclitis, iritis Secondary syphilitic uveitis A51.44 Secondary syphilitic nephritis A51.45 Secondary syphilitic hepatitis A51.46 Secondary syphilitic osteopathy A51.49 Other secondary syphilitic conditions Secondary syphilitic lymphadenopathy [americanmedicalcoding.com]
In cases where urethritis is suspected, a detailed exam of the genitalia is done for skin lesions, lymphadenopathy, and epididymal or testicular tenderness and swelling. [cancertherapyadvisor.com]
- Anorexia
[…] respiratory treatment Alopecia female patient ALTAST elevation Amenorrhea primary Amenorrhea secondary Amyloidosis Anemia Anemia in newborn Anemia of chronic disease Anemia hemolytic Anemia macrocytic Anemia microcytic Anemia with reticulocytosis Anisocoria Anorexia [books.google.com]
Skin
- Pruritus
[…] generalized Pruritus pregnant patient Pruritus vulva Pseudogout Pseudohermaphroditism Psychotic patient Puberty delayed Pulmonary embolism Pulmonary nodule Purpura palpable Reactive erythema pediatric patient ICD9CM Renal artery stenosis Renal disease [books.google.com]
Women—up to 80% may be asymptomatic ( 2 ) Yellow-green, malodorous vaginal discharge Vulvovaginal pruritus Dysuria Symptoms often worsen during menses. Men—80% are asymptomatic ( 2 ) Dysuri... Symptomatic individuals require treatment. [5minuteconsult.com]
Candidal Vaginitis Dysuria, vaginal pruritus and discharge are the most common symptoms of candidiasis and usually worsen just before menstruation. Organisms originate in the perianal area and cause alterations in the normal vaginal environment. [aafp.org]
Urethritis may be associated with urethral discharge or meatal pruritus. Fever and lower back pain are unusual and may indicate upper urinary tract infection. [cancertherapyadvisor.com]
- Dermatitis
J Vestnik Dermat and Venerol 2008; 4:17-29. [in Russian]. 2. Khrianin AA. Infections of Mycoplasma, Moscow, PAGRI, 2006. [in Russian]. 3. Kubanova AA, Rakhmatulina MR. Urinogenital infectious diseases caused by genital mycoplasma. [ijbm.org]
[…] pain Facial pain Failure to thrive Fatigue Fatty liver Fever and jaundice Fever and rash Fever in returning travelers and immigrants28 Fever noninfectious causes2 Finger lesions inflammatory Flushing27 Foot and ankle pain in different age groups8 Foot dermatitis [books.google.com]
A98.4 Ebola virus disease A98.5 Hemorrhagic fever with renal syndrome A98.8 Other specified viral hemorrhagic fevers A99 Unspecified viral hemorrhagic fever B00 Herpesviral [herpes simplex] infections B00.0 Eczema herpeticum B00.1 Herpesviral vesicular dermatitis [eicd10.com]
Neurologic
- Burning Sensation
Men with non-specific urethritis (with painful urination, a burning sensation on urination, and the urge to urinate) show trichomonads in 10-20% of cases. In general, males are asymptomatic carriers and can act as a reservoir of infection. [dna.kdna.ucla.edu]
When there is a build up of trich in the urinary tract, the patients are likely to experience a burning sensation when they are passing urine and, sometimes, there may also be a distention or bleeding of the walls of the vagina. [herbs2000.com]
Urogenital
- Dysuria
[…] primary genital herpes as the cause of dysuria. [aafp.org]
Symptoms and Signs In women, symptoms range from none to copious, yellow-green, frothy vaginal discharge with soreness of the vulva and perineum, dyspareunia, and dysuria. [merckmanuals.com]
The use of spermicides may cause a chemical urethritis, with associated dysuria findings that mimic those of infectious urethritis. [antimicrobe.org]
Other common symptoms include vulval itching, dysuria or offensive odour. Lower abdominal discomfort can occur in some women. There may be signs of local inflammation with vulvitis and vaginitis. [patient.info]
Cystitis is usually associated with painful urination (dysuria), increased frequency, urgency, and suprapubic pain. [automatedclinical.com]
- Pelvic Pain
In addition, urethritis symptoms include: frequent or urgent need to urinate difficulty starting urination itching, pain or discomfort when not urinating pain during sex vaginal or urethral discharge abdominal and pelvic pain fever and chills Diagnosing [beaumont.org]
Disease 375 Paroxysmal Cold Hemoglobinuria PCH 377 Pedophilia 378 Pelvic Pain Chronic 379 Pemphigus Vulgaris 380 Peptic Ulcer Disease 381 Pericarditis 382 Peritoneal Carcinomatosis 383 Peritonitis Secondary 384 Periumbilical Swelling 385 Photodermatoses [books.google.com]
Urinary urgency and chronic urethral and/or pelvic pain in females. Can doxycycline help? J Urology 2004; 172(1):232-235. 6. Adaskevich VP. Sexually transmitted infections. Physician handbook, Moscow, 1999. [in Russian]. 7. Rakovskaya IV. [ijbm.org]
Symptoms that UTIs and STIs share: frequent urge to urinate, burning with urination and lower pelvic pain Symptoms that suggest an STI: vaginal symptoms such as discharge, bleeding and/or irregular periods, and being sexually active and/or having more [safebee.com]
Persistence of pain, discomfort, and irritative voiding symptoms beyond 3 months should alert the clinician to the possibility of chronic prostatitis or chronic pelvic pain syndrome in men. [antimicrobe.org]
- Dyspareunia
Symptoms and Signs In women, symptoms range from none to copious, yellow-green, frothy vaginal discharge with soreness of the vulva and perineum, dyspareunia, and dysuria. [merckmanuals.com]
Dyspareunia and the sensation of the dysuria being external are typical of vaginitis. [aafp.org]
[…] intercourse. elevated Trichomonas vaginalis ( A59.0 ) Can cause a profuse discharge with a fish-like odor, pain upon urination, painful intercourse, and inflammation of the external genitals. elevated (5.0–6.0) Aerobic vaginitis Burning, stinging and dyspareunia [en.wikipedia.org]
Non-infectious causes include interstitial cystitis (a.k.a. painful bladder syndrome), which is a chronic disease associated with frequency, urgency, pelvic pain, and dyspareunia. The symptoms are often mistaken for recurrent bladder infections. [cancertherapyadvisor.com]
- Prostate Tenderness
For cystitis: Check for presence of suprapubic or lower abdominal tenderness, no costovertebral angle tenderness, no epididymal tenderness or prostatic tenderness on exam. [cancertherapyadvisor.com]
tenderness, boggy texture on palpation Acute prostatitis Prostatic massage contraindicated May require parenteral treatment Milder cases can be treated with same regimen as for epididymitis Unilateral pain, tenderness or swelling of testes or epididymis [aafp.org]
- Urinary Urgency
Urinary urgency and chronic urethral and/or pelvic pain in females. Can doxycycline help? J Urology 2004; 172(1):232-235. 6. Adaskevich VP. Sexually transmitted infections. Physician handbook, Moscow, 1999. [in Russian]. 7. Rakovskaya IV. [ijbm.org]
Cystitis (bladder infection) in the noncatheterized person is manifested by dysuria, urinary frequency, urinary urgency, and/or suprapubic pain and may be accompanied by hematuria. [infectiousdiseaseadvisor.com]
Workup
The symptoms are progressive, and workup commonly results in negative urine cultures. [cancertherapyadvisor.com]
Renal and pelvic ultrasound, computed tomography (CT) urogram, magnetic resonance imaging (MRI), intravenous or retrograde pyelography, or urodynamic studies may be indicated in the workup of causes for recurrent UTI. [infectiousdiseaseadvisor.com]
Microbiology
- Chlamydia
Chlamydia trachomatis, which is sexually transmitted and causes chlamydia. The herpes simplex virus (HSV-1 and HSV-2) can also cause urethritis. Trichomonas is another cause of urethritis. It is a single-celled organism that is sexually transmitted. [webmd.com]
Chlamydia Many chlamydial infections are managed on a syndromic basis. That is, urethritis is diagnosed by Gram stain of urethral discharge ( Figure 3 ) and treatment is given without further specific testing for chlamydia. [antimicrobe.org]
The primary pathogens associated with urethritis are Chlamydia trachomatis and Neisseria gonorrhoeae. [aafp.org]
Sexually transmitted diseases (STDs), such as trichomonas vaginitis, chlamydia, gonorrhea, or genital herpes. [diki.pl]
- Candida
Specific forms of vaginal inflammation include the following types: Infectious vaginitis accounts for 90% of all cases in reproductive age women: Candidiasis : vaginitis caused by proliferation of Candida albicans, Candida tropicalis, Candida krusei [ [en.wikipedia.org]
In vitro activity of essential oils, in particular Melaleuca alternifolia (tea tree) oil and tea tree oil products, against Candida spp. J Antimicrob Chemother 1998 ; 42 :591-5. 12. Peña EF. Melaleuca alternifolia oil. [passeportsante.net]
Candida fungi show practically the same frequency of occurrence. [ijbm.org]
HSV, Candida albicans and adenovirus are rare causes of nongonococcal urethritis. Enteric bacteria have been identified as an uncommon cause of nongonococcal urethritis associated with insertive anal intercourse. [antimicrobe.org]
Candida, Trichomonas and genital herpes produce dysuria either because of direct injury to the vaginal epithelium or because of an associated inflammatory response. [aafp.org]
- Chlamydia Trachomatis
The primary pathogens associated with urethritis are Chlamydia trachomatis and Neisseria gonorrhoeae. [aafp.org]
Chlamydia trachomatis, which is sexually transmitted and causes chlamydia. The herpes simplex virus (HSV-1 and HSV-2) can also cause urethritis. Trichomonas is another cause of urethritis. It is a single-celled organism that is sexually transmitted. [webmd.com]
The bacteria responsible for urethritis include: E. coli: Present in stool, it's the same bacteria that causes urinary tract infections (UTIs) Gonococcus: Sexually transmitted and causes gonorrhea Chlamydia trachomatis: Sexually transmitted and causes [beaumont.org]
Using PCR diagnostics, Mycoplasma hominis and Chlamydia albicans were found to be the most frequently occurring agents, followed by Ureaplasma urealyticum, Chlamydia trachomatis and Trichomonas vaginalis. [ijbm.org]
Among nongonococcal urethritis cases, approximately 40-60% are due to Ureaplasma urealyticum, 30-40% due to Chlamydia trachomatis. 5-10% due to Mycoplasma hominis, and less than 5% due to Trichomonas vaginalis (Table 1). [antimicrobe.org]
- Mycoplasma Hominis
Using PCR diagnostics, Mycoplasma hominis and Chlamydia albicans were found to be the most frequently occurring agents, followed by Ureaplasma urealyticum, Chlamydia trachomatis and Trichomonas vaginalis. [ijbm.org]
Mycoplasma Laboratory diagnosis of mycoplasmal infections is currently based mainly on culture or serological methods. M. hominis can be isolated easily from clinical specimens with specific mycoplasma agar medium. [antimicrobe.org]
Rapid detection of coinfections by Trichomonas vaginalis, Mycoplasma hominis, and Ureaplasma urealyticum by a new multiplex polymerase chain reaction. Diagn Microbiol Infect Dis. 2010 May. 67(1):30-6. [Medline]. [emedicine.medscape.com]
Azithromycin treatment for non-gonococcal urethritis negative for Chlamydia trachomatis, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma parvum, and Ureaplasma urealyticum. Int J Urol. 2009;16(2):215–216. 20. Jernberg E, Moghaddam A, Moi H. [aafp.org]
Treatment
Treatment Basic information Diagnosis Treatment Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis [books.google.com]
Treatment In patients with confirmed urethritis, concurrent treatment for gonorrhea and chlamydia is recommended unless test results are already known or rapid results can be obtained to narrow treatment. [aafp.org]
Retest women within 3 months of treatment. Avoid alcohol during treatment with standard agents. Treatment does not reduce risk of adve... [5minuteconsult.com]
Regular probiotic treatment, consumption of kefir and increased fluid intake are recommended for patients susceptible for re-infection. [belvarosiorvosicentrum.hu]
For bacterial cystitis, empiric treatment is based on symptoms. [cancertherapyadvisor.com]
Prognosis
Prognosis: Outlook With proper treatment, the chance of a cure is excellent. Potential Complications • Long-term untreated infection may cause abnormal cell changes in the cervix. These changes can be detected in a routine Pap smear. [womens-health-advice.com]
"Prognosis and treatment of desquamative inflammatory vaginitis". Obstet Gynecol. 117 (4): 850–5. doi : 10.1097/AOG.0b013e3182117c9e. PMID 21422855. ^ Tansarli, G. S.; Kostaras, E. K.; Athanasiou, S.; Falagas, M. E. (2013). [en.wikipedia.org]
Prognosis and Patient Counseling. For cystitis, patients should be counseled on methods to reduce the risk of recurrence, including voiding after intercourse and avoiding spermicide or diaphragm use. [cancertherapyadvisor.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.com]
Pathomorphological characteristics of the foci of leukoplakia correlate with the etiology of chronic inflammation and are relevant for etiological diagnosis and treatment. [ijbm.org]
English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]
Incubation periods ranging from 2 to 35 days have been described, and many men with nongonococcal urethritis develop urethral symptoms within 4 days, so that the incubation period is not a reliable factor in the etiologic diagnosis. [antimicrobe.org]
Epidemiology
Poole DN, McClelland RS ; Global epidemiology of Trichomonas vaginalis. Sex Transm Infect. 2013 Sep89(6):418-22. doi: 10.1136/sextrans-2013-051075. Epub 2013 Jun 6. [patient.info]
1963-71 Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
In men, microscopy of urine is insensitive, and NAAT and dipstick tests have not been rigorously validated; however, epidemiologic studies suggest that for NAAT, urethral swabs are better than urine. [merckmanuals.com]
“The epidemiology of urinary tract infection”. Nat Rev Urol. vol. 7. 2010. pp. 653-60. (A nice contemporary review of the epidemiology of UTI.) Hooton, TM. “Clinical practice. Uncomplicated urinary tract infection”. [infectiousdiseaseadvisor.com]
Diagnostic criteria and microbial and epidemiologic associations. Am J Med. 1983 Jan. 74(1):14-22. [Medline]. Andrea SB, Chapin KC. [emedicine.medscape.com]
Pathophysiology
Pathophysiology T vaginalis is approximately the size of a white blood cell (WBC)—about 10-20 μm long and 2-14 μm wide—though its size may vary with physical conditions (see the image below). [emedicine.medscape.com]
Prevention
Centers for Disease Control and Prevention Condom Fact Sheet in Brief (Centers for Disease Control and Prevention) Trichomoniasis (Medical Encyclopedia) Trichomoniasis (Centers for Disease Control and Prevention) [ Read More ] Urinary Tract Infections [icdlist.com]
Treatable - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary [codelay.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]
Treating urethritis caused by a virus Urethritis due to the herpes simplex virus can be treated with a number of medications, including: Famciclovir (Famvir) Valacyclovir (Valtrex) Acyclovir (Zovirax) Preventing Urethritis Urethritis can be prevented [beaumont.org]
Preventive Services Task Force. Screening for chlamydial infection: an evidence update for the U.S. Preventive Services Task Force. Ann Intern Med. 2007;147(2):135–142. 30. U.S. Preventive Services Task Force. [aafp.org]