L2: Cervicitis

Question 1

Etiology of Acute Cervicitis

Answer 1

• Infective: Gonorrhea & chlamydia.
• Non infective: Postoperative (as D&C or cauterization).

Question 2

Symptoms of Acute Cervicitis

Answer 2

• Mucopurulent vaginal discharge.
• Deeply seated pelvic pain, low backache & dyspareunia.

Question 3

Signs of Acute Cervicitis

Answer 3

• Cervix is swollen & red è tender cervical motion.
• Discharge is seen oozing from cervix.

Question 4

TTT of Acute Cervicitis

Answer 4

• Broad spectrum antibiotics, analgesics & antipyretics.

Question 5

Etiology of Chronic Cervicitis

Answer 5

Non-specific: On top of acute cervicitis.

Specific: Chronic from the start ( TB, syphilis, ).

Question 6

Symptoms of Chronic Cervicitis

Answer 6

Question 7

Signs of Chronic Cervicitis

Answer 7

Question 8

INVx for Chronic Cervicitis

Answer 8

• Bacteriological examination of discharge.
• Colposcopy: in resistant cases to exclude malignancy.

Question 9

TTT of Chronic Cervicitis

Answer 9

Question 10

TTT of Chronic Cervicitis

• Medical TTT

Answer 10

• Broad spectrum antibiotics (as tetracycline).
• Analgesics.
• Vaginal antiseptics.
• Measures to relieve pelvic congestion

Question 11

TTT of Chronic Cervicitis

• Cauterization

Answer 11

• Indicated mainly in cervical erosion.

Types of cautery: electrocautery, cryocautery, chemical cautery, laser cautery, end- coagulation system

Question 12

TTT of Chronic Cervicitis

• Surgical TTT

Answer 12

• Trachelorraphy: in ectropion.
• Conization OR amputation: in elongated hypertrophic cervicitis

Question 13

CAuses of Barrel-Shaped Cervix

Answer 13