Gynecological Infections

14 important questions on Gynecological Infections

What is the predominant bacterium of the human vaginal microbiome?

Lactobacillus.

How can cervicitis be screened?

Cervicitis can be screened with the initial-void urine stream (not clean-catch mid-void) NAAT.

What is the pH level of the vagina when infected and inflamed?

Less than 4.5.
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What are the symptoms of symptomatic cervicitis?

Symptomatic cervicitis presents with a purulent vaginal discharge and cervical motion tenderness.

What condition is caused by infection and inflammation of the vaginal epithelium?

Vaginitis.

What is the term for infection and inflammation of the cervical epithelium?

Cervicitis.

What is Pelvic Inflammatory Disease (PID) and what causes it?

PID is typically polymicrobial and is more likely due to gonorrhea or chlamydia alone.

What is the outpatient treatment for PID?

Outpatient treatment:
  • Ceftriaxone 500 mg IM x 1 for gonorrhea
  • Doxycycline 100 mg PO BID x 14 days for chlamydia
  • Metronidazole 500 mg PO TID x 14 days for the rest

What type of discharge is associated with Candida vaginitis?

Thick, white, adheres to wall.

What is required for inpatient admission for PID?

Inpatient admission is required for severe disease—high fever, low blood pressure, nausea/vomiting, TOA, or pregnancy.

What are the sequelae of PID?

Sequelae of PID, especially if the uterine tubes are involved, are infertility and ectopic pregnancy.

What symptom is common in all forms of vaginitis?

Vaginal discharge with pruritus.

What is Fitz-Hugh-Curtis syndrome?

Fitz-Hugh-Curtis is a special syndrome that involves the peritoneum and the capsule of the liver.

What is the appearance of the cervix in trichomoniasis?

Strawberry cervix.

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