Cervicitis 1A

Question 1

what is cervicitis

Answer 1

• Inflammation of the cervix characterised by purulent endocervical exudate

Question 2

it can lead to what other comorbities

Answer 2

• Common and symptomatic and can  PID and then  long term effects such as infertility and chronic pelvic pain

Question 3

most common agents

Answer 3

Chlamydia trachomatis, Neisseria gonorrhoea, HSV, Trichomonas vaginalis

Question 4

what is the primary symptoms in acute cervicitis

Answer 4

primary symptom is purulent vaginal discharge

Question 5

what colour discharge is seen with each causative agent

Answer 5

 In gonorrhoea= thick and creamy
 Chlamydia= purulent discharge
 Trichomonas = greenish-white and foamy

Question 6

what is leukorrhoea

Answer 6

flow of white, yellowish, greenish discharge due to endocervical inflammation

Question 7

other symptoms

Answer 7

infertility, pelvic discomfort and dyspareunia

Question 8

what is seen on examination

Answer 8

acutely inflamed oedematous cervix with purulent discharge

Question 9

diagnosis is made via what test and what is seen

Answer 9

 Wet mount (motile flagellated T.vaginalis) may be noted
 Gram stain= in gonorrhoea (gram negative intracellular diplococci)
 Viral culture =for viral causes
 PCR= for gonorrhoea and chlamydia

Question 10

treatment?

Answer 10

 T. vaginalis = metronidazole
 Gonorrhoea = ceftriaxone
 Chlamydia = doxycycline or azithromycin
 Herpes = acyclovir