151 - Gonococcal Infections Flashcards

1
Q

What is the clinical presentation of gonococcal infections in men? 4

A

urethritis + secretions
dysuria
epididymis
prostatitis

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2
Q

What is the clinical presentation of gonococcal infections in women? 3

A

gonococcal cervicitis
vaginitis gonorrhea
anorectal gonorrhea

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3
Q

Mucopurulent cervicitis usually develops from one the of the following pathogens: 3

A

N. gonorrhea
Chlamydia trachomatis
mycoplasma genitalium

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4
Q

Women diagnosed with gonococcal cervicitis are usually __. Minor symptoms may include: 3. They develop within _ days

A
asymptomatic
vaginal discharge
dysuria
gonococcal urethritis
10
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5
Q

If the infection spreads deep enough it can cause __, __ - consider diagnosing __ and treat accordingly

A

dyspareunia
lower abdomen/back pain
PID

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6
Q

Gonococcal vaginitis is more common in __ women (before menarche/postmenopausal)

A

un-estrogenic

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7
Q

Anorectal gonorrhea may cause the following symptoms: 4. Remember it is uncommon- affecting only 5% of infected women

A

Proctitis
pruritus
tenesmus
rectal bleeding/mucus

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8
Q

Gonorrhea during pregnancy has __ consequences both on the mother and embryo: 5

A
dire
preterm birth
funisitis 
chorioamnionitis
sepsis
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9
Q

What is the most common form of gonorrhea in new born?

A

ophthalmia neonatorum

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10
Q

DGI-__

A

Disseminated gonococcal infection

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11
Q

Gonococcal arthritis or DGI has __ phases:

A

2
gonococcal bacteremia
located purulent arthritis

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12
Q

__% of gonococcal arthritis will also show __ wounds including __ and __

A

75
cutaneous
pustules
abscess

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13
Q

People with complement deficiency (C_-_) are predispose for NG __. Therefor, people who experience multiple __ should be screened for complement deficiency

A

5-9
bacteremia
DGI

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14
Q

What is the DDx of DGI? 5

A
reactive arthritis
acute RA
sarcoidosis 
erythema nodosum
drug induced arthritis
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15
Q

DGI usually involves - joints, usually the: 4

A
1-2
knees
palm
hill
elbow
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16
Q

Lab diagnosis- in men perform __ stain of the __ exudate.

A

gram

urethral

17
Q

What is the 1st line of treatment for NG.

A

3rd gen cephalosporins (ceftriaxone)
+
Macrolide (azithromycin=adenyl)

18
Q

What are the indications for admitting a DGI patient? 4

A

uncertain diagnosis
articular disease/need for drainage
incompliance

19
Q

Patients diagnosed with GN should __ from sexual intercross until treatment is __

A

abstain

complete