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Cervicitis

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Topic updated on 04/30/15 12:43am

Introduction
  • Seen in sexually active women
    • increased risk with unsafe sex practices
  • Can be acute or chronic
    • acute
      • located in transformation zone
      • caused by bacteria, yeast, protozoa, and viruses
        • C. trachomatis, N. gonorrhoeae, T. vaginalis, Candida, HPV, and HSV-2
    • chronic
      • persistence of acute cause
Presentation
  • Symptoms
    • vaginal discharge
    • pelvic pain
    • erythematous cervical os
  • Physical exam
    • pain on palpation
    • friability when obtaining sample for culture
Evaluation
  • DNA probe
    • detects Chlamydia and N. gonorrhoeae
  • Wet mount
    • detects T. vaginalis
  • Pap smear
Prognosis, Prevention, and Complications
  • Follicular cervicitis
    • sequelae of C. trachomatis infection
    • results in ↑ lymphoid infiltrate and metaplasia of squamous cells
    • intracellular Chlamydia results in red vacuoles (reticulate bodies)

 



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