Cervicitis: Difference between revisions
(workup of cervicitis with GC, chlamydia swab, wet mount, and UPT) |
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==Background== | ==Background== | ||
*Inflammation of the cervix most commonly caused by Chlamydia (about 40%) and Gonorrhea | *Inflammation of the cervix most commonly caused by [[Chlamydia]] (about 40%) and [[Gonorrhea]] | ||
**Less commonly caused by Trichomonas and HSV | **Less commonly caused by [[Trichomonas]] and [[HSV-2]] | ||
==Clinical Features== | ==Clinical Features== | ||
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*May see endocervical bleeding easily induced by cotton swab | *May see endocervical bleeding easily induced by cotton swab | ||
*Frequently asymptomatic | *Frequently asymptomatic | ||
**Women may complain of abnormal vaginal | **Women may complain of abnormal vaginal discharge or post-coital [[vaginal bleeding]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
== | ==Diagnosis== | ||
*Endocervical swab (for [[GC]], [[Chlamydia]]) | *Endocervical swab (for [[GC]], [[Chlamydia]]) | ||
*Wet mount | *Wet mount | ||
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==Management== | ==Management== | ||
Cefixime 400mg PO once | [[Cefixime]] 400mg PO once | ||
''OR'' | ''OR'' | ||
Azithromycin 1g PO once | [[Azithromycin]] 1g PO once | ||
''ADD'' | ''ADD'' | ||
Flagyl 2g PO once ''if concern for trichomoniasis'' | [[Flagyl]] 2g PO once ''if concern for [[trichomoniasis]]'' | ||
==Disposition== | ==Disposition== | ||
==See Also== | ==See Also== | ||
*[[Sexually Transmitted Diseases (STD)]] | |||
== | ==External Links== | ||
*http://www.cdc.gov/std/treatment/2010/urethritis-and-cervicitis.htm | |||
==References== | |||
<references/> | <references/> | ||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
Revision as of 06:02, 14 May 2015
Background
- Inflammation of the cervix most commonly caused by Chlamydia (about 40%) and Gonorrhea
- Less commonly caused by Trichomonas and HSV-2
Clinical Features
- Mucopurulent endocervical discharge
- May see endocervical bleeding easily induced by cotton swab
- Frequently asymptomatic
- Women may complain of abnormal vaginal discharge or post-coital vaginal bleeding
Differential Diagnosis
Diagnosis
Management
Cefixime 400mg PO once
OR
Azithromycin 1g PO once
ADD
Flagyl 2g PO once if concern for trichomoniasis