Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Reproduction Week 1 > Lecture 13: STI and PID, Pathophysiology and Pathology > Flashcards

Lecture 13: STI and PID, Pathophysiology and Pathology Flashcards

1
Q

What are the STIs to consider that usually require lab detection/diagnosis?

A
  1. Chlamydia trachomatis
  2. Neisseria gonorrheae
  3. Syphilis
  4. herpes simplex
  5. Hepatitis B/C
  6. HIV
  7. HPV
  8. Trichomonas (parasite)
  9. ulcers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the high risk groups for STI?

A

Adolescent/pregnant
Correctional facilities
Gay and lesbian
Sex abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does nulligravid mean?

A

Woman has never been pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does vaginal flora contain?

A
  1. streptococci
  2. staph
  3. Klebsiella
  4. E. coli
  5. Proteus, lactobiacilli
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What causes the acidic pH in vagina?

A

Lactobacilli produces peroxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where in the cervix is infection most common?

A

Squamo-columnar junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the characteristics of Neisseria gonorrhoeae?

A

Gram negative DiploCocci
Fastidious growth requirements
Gonorrhea in men is symptomatic, asymptomatic in women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the characteristics of Chlamydia?

A

Gram-negative bacilli

Inflammatory response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are symptoms of chlamydia in women?

A
  1. Cervicitis
  2. Endometritis
  3. Salpingitis
  4. Infertility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is LGV?

A

Lymphogranuloma venereum

Infection of lymphatics caused by chlamydia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What laboratory techniques are used for GC and chlamydia?

A

NAAT
Nucleic acid amplification test
Used to test: chlamydia, gonorrhea, herpes, trichomonas, HPV
You can’t tell from looking at cervicitis
Serologic tests are used for syphilis and Hep B/C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the different types of pelvic inflammatory disease (PID)?

A
  1. Endometritis (endometrium)
  2. Salpingitis (Fallopian tube)
  3. Oophoritis (Ovary)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the cervical motion tenderness?

A

That if you touch that point and the patient moves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is adnexa?

A

Parts adjoining an organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the minimum criteria for diagnosis of PID?

A
  1. lower abdominal pain
  2. Adnexal (adjoining) tenderness
  3. Cervical motion tenderness
    Upper reproductive tract inflammation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the additional criteria for diagnosis of PID?

A
  1. fever
  2. elevated white count
  3. pus from cervix, mucopurulent cervicitis
  4. Isolation/detection of gonorrhea and/or chlamydia
  5. laparoscopic finding of inflamed fallopian tube with pus from fimbriated end
17
Q

What are the principles of treatment of PID?

A

Broad spectrum antibiotics which are effective against gonorrhea, chlamydia, as well as the endogenous vaginal and lower GI flora such as anaerobic Bacteroides fragilis, and gram negative and gram positive aerobes

18
Q

What are the complications of acute PID?

A
  1. Infertility caused by tubal scarring, pyosalpinx, hydrosalpinx, distal tubal occlusion, scarring
  2. ectopic pregnancy
  3. chornic pelvic pain
  4. tubo-ovarian abscess and peritonitis
19
Q

When should you consider diagnosis of PID?

A

Consider the diagnosis of PID in ALL sexually active women of reproductive age who present with lower abdominal pain

20
Q

When do you screen for gonorrhea/chlamydia?

A

Screen for asymptomatic gonorrhea and chlamydia in sexually active men and women under 25

21
Q

What is a pyosalpinx?

A

When fimbria fuses with ovary

22
Q

Is PID associated with IUD insertion?

A

NO

With new devices, there is no increased rate of PID or ectopic pregnancy

23
Q

What is hydrosalpinx?

A

Distally blocked fallopian tube filled with serous or clear fluid

24
Q

What is the most salient potential sequelae of PID due to post-inflammatory damage to fallopian tubes?

A

Ectopic pregnancy

25
Q

What are the routes of progression from acute to chronic salpingitis?

A
  1. fimbrial end remains patent (tube thickened and plicae fused together
  2. Spread to ovary
    • tubo-ovarian abscess
  3. Occlusion of the fimbriated end
    • pysalpinx
    • hydrosalpinx
26
Q

What is the main complication of PID?

A

Blocking of fallopian tube by inflammation and scarring! INFERTILITY

27
Q

What is the pathologic definition

Of PID?

A

Chronic salpingitis with involvement
Of surrounding structures including ovary
And parametrium

28
Q

What is the significance of actinomyces israelii?

A

Is associated with IUD

29
Q

What is the natural history of tubal frequency?

A
  1. tubal abortion (expelled from fimbrial end of tube)
  2. Tubal hemorrhage
  3. Tubal rupture

Reproduction Week 1 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions