Urethritis, Cervicitis and testicular pain Flashcards
Urethritis criteria
Greater than 5 neutrophils on a high power field with a urethral swab in SYMPTOMATIC MALES
Physiological discharge
Littre’s glands/urethral glands
Causes of vaginal discharge
- Physiological
- Cervical mucus
- Cycle variations - Cervicitis
- Endocervical infection (e.g. gonorrhoea/chlamydia) - Genital candidiasis
- Vaginal inflammation - Bacterial vaginosis
- Overgrowth of commensal vaginal bacteria
Most common STI
Chlamydia
Chlamydia structure
Similar to gram negative bacteria
Pathogenesis of chlamydia
Intracellularly use ATP produced by host cell to create reticulobodies which are vacuoles. Elementary bodies are produced at the same time. The reticulobodies cause cell lysis and elementary bodies go on to infect other cells.
What can chlamydia cause in males
Urethritis
Epididimitis
Conjunctivitis
What can chlamydia cause in females
Cervicitis
Ectopic pregnancy
Infertility
What can chlamydia cause in neonates
Pneumonia
Otitis media