151 - Gonococcal Infections Flashcards
What is the clinical presentation of gonococcal infections in men? 4
urethritis + secretions
dysuria
epididymis
prostatitis
What is the clinical presentation of gonococcal infections in women? 3
gonococcal cervicitis
vaginitis gonorrhea
anorectal gonorrhea
Mucopurulent cervicitis usually develops from one the of the following pathogens: 3
N. gonorrhea
Chlamydia trachomatis
mycoplasma genitalium
Women diagnosed with gonococcal cervicitis are usually __. Minor symptoms may include: 3. They develop within _ days
asymptomatic vaginal discharge dysuria gonococcal urethritis 10
If the infection spreads deep enough it can cause __, __ - consider diagnosing __ and treat accordingly
dyspareunia
lower abdomen/back pain
PID
Gonococcal vaginitis is more common in __ women (before menarche/postmenopausal)
un-estrogenic
Anorectal gonorrhea may cause the following symptoms: 4. Remember it is uncommon- affecting only 5% of infected women
Proctitis
pruritus
tenesmus
rectal bleeding/mucus
Gonorrhea during pregnancy has __ consequences both on the mother and embryo: 5
dire preterm birth funisitis chorioamnionitis sepsis
What is the most common form of gonorrhea in new born?
ophthalmia neonatorum
DGI-__
Disseminated gonococcal infection
Gonococcal arthritis or DGI has __ phases:
2
gonococcal bacteremia
located purulent arthritis
__% of gonococcal arthritis will also show __ wounds including __ and __
75
cutaneous
pustules
abscess
People with complement deficiency (C_-_) are predispose for NG __. Therefor, people who experience multiple __ should be screened for complement deficiency
5-9
bacteremia
DGI
What is the DDx of DGI? 5
reactive arthritis acute RA sarcoidosis erythema nodosum drug induced arthritis
DGI usually involves - joints, usually the: 4
1-2 knees palm hill elbow