medical notes

Apr 17th, 2015
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GONORRHEAEssentials of diagnosis Most affected women are asymptomatic carriers. Purulent vaginal discharge. Frequency and dysuria. Recovery of organism in selective media. May progress to pelvic infection or disseminated infection.General Considerations Sites of infection include the cervix, urethra, rectum, andpharynx. In addition, gonorrhea is a cause of PID. Humans are the natural reservoir. Gonococci are present in the exudate and secretions of infectedmucus membranes. Neisseria gonorrhoeae is a gram-negative diplococcus thatforms oxidase-positive colonies and ferments glucose. The columnar and transitional epithelium of the genitourinarytract is the principal site of invasion. The organism may enter the upper reproductive tract, causingsalpingitis with its attendant complications. It has been estimated that after exposure to an infectedpartner, 20-50% of men and 60-90% of women becomeinfected. Without therapy, 10-17% of women with gonorrhea developpelvic infection. N gonorrhoeae is often present with other sexually transmitteddiseases. Traditionally, women with gonorrhea are considered to be atrisk for incubating syphilis. It has been shown that 20-40% also has Chlamydia infection.Symptoms and Signs1. Early symptoms Most women with gonorrhea are asymptomatic. When symptoms occur, they are localized to the lowergenitourinary tract and include vaginal discharge, urinaryfrequency o

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