Inflammatory conditions of female genital tract Flashcards
infections confined to lower genital tract
herpes simplex chancroid lymphogranuloma venereum granuloma inguinale candidiasis trichomonas vaginalis gardnerella vaginalis
candidiasis enhancements
diabetics
oral contraception use
pregnancy
what does candidiasis cause
leukorrhea (white discharge)
pruritus (itching)
what causes trichomoniasis
trichomonas vaginalis
what does trichomoniasis cause
purulent discharge and pruritus strawberry cervix (inflamed vagina/cervix)
what causes gardnerella vaginitis
g. vaginalis (gram negative coccobacillus)
what does gardnerella vaginitis present
milky discharge with fish like smell
associated with replacement of normal lactobacilli by g. vaginalis
common causative pathogens of pelvic inflammatory diseases
gonococci, chlamydia, enteric bacteria
clinical presentation of pelvic inflammatory disease
pelvic pain adnexual tenderness on bimanual palpation cervical excitation tenderness fever vaginal discharge septic shock
gonococcal pid spread
begins in bartholin gland and other vestibular glands or periuethral glands
cervix involvement is asymptomatic
organisms spread upward through mucosal surface to involve tubes and tubo ovarian regions
endometrium is spared
characteristics of gonococcal pid
acute suppurative inflammation acute suppurative salpingitis salpingo-oophritis (involvement with ovaries and tubes) tubo ovarian abscess can form tubes can for pyosalpinx
causes of non gonococcal bacterial pid
induced miscarriage
dilation and curettage
complicated deliveries
surgical procedures on female genital tract
organisms of non gonococcal bacterial pid
streptococci
staphylococcus
coliform bacteria
clostridium perfringes
complications of pid
peritonitis
intestinal adhesions between bowel and pelvic organs
bacteremia which can produce endocarditis and meningitis
infertility with blockage of fallopian tubes
