Gonococcal Cervicitis

Question 0

Mucopurulent cervicitis?

Most common organism?

Answer 0

Yellow exudative discharge arising from the endocervix with 10+ PMNs per high-powered field

Chlamydia (More so than gonorrhea)

Question 1

Patient with suspected gonococcal cervicitis – treatment? Complications?

Answer 1

IM ceftriaxone (for gonorrhea) + azithromycin (for chlamydia)

Saplingitis, disseminated gonorrhea

Question 2

Gonococcus and chlamydia have a propensity for what type of cell?

Answer 2

Columnar cells of the endocervix

Question 3

It gonococcal cervicitis – expected cervical findings? Associated Symptoms?

Answer 3

Friable cervix; spotting

Question 4

Dosing for cervicitis?

Answer 4

Gonorrhea – 125 to 250 mg of ceftriaxone IM

Chlamydia – Azithromycin 1 g orally or doxycycline 100 milligrams orally for 7-10 days

Question 5

Extra GU sites of infection for gonorrhea?

Answer 5

Infectious arthritis – large joints

Disseminated gonorrhea – painful pustules with erythematous base on skin

Question 6

Risk factors for salpingitis?

Answer 6

1. IUD
2. Previous gonorrhea or chlamydia infection
3. Surgery
4. Anything that breaks down cervical barrier

Question 7

Actinomyces in vagina signifies?

Answer 7

Nothing – normal flora

Question 8

Sexually-transmitted pharyngitis – cause? Linked with what activity? Typical course of the disease?

Pathophysiology?

Answer 8

Gonorrhea; oral sex; typically no symptoms until disease disseminates

Pili allows gonococcal bacteria to adhere to surface of columnar epithelium and throat (chlamydia does not have the pili)