Term
Trichomonas vaginalis definition |
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Definition
protozoal infection of the vagina/cervix = Trichomoniassis |
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Term
most common manifestations of Trichomonas vaginalis |
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Definition
discharge, pruritus, strawberry cervix |
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Term
characteristic method of dx of Trichomonas vaginalis |
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Definition
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Term
important clinical consequences of Trichomonas vaginalis |
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Definition
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Term
Candida albicans definition |
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Definition
fungal infection of vagina/cervix = candidiasis |
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Term
most common manifestations of Candida albicans |
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Definition
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Term
characteristic method of dx of Candida albicans |
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Definition
wet mounts demonstrating spores and pseudohyphae and pap smear |
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Term
important clinical consequences of Candida albicans |
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Definition
leukorrhea and pruritus. Common in women with diabetes mellitus, on oral contraceptives, pregnant, 40% mortality and morbidity in low birth-weight infants, affects 75% of women |
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Term
Gardnerella vaginalis definition |
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Definition
gram-negative, small bacillus thought to cause vaginitis/cervicitis = Gardnerella Infection |
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Term
most common manifestations of Gardnerella vaginalis |
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Definition
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Term
characteristic methods of dx of Gardnerella vaginalis |
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Definition
producing transient “fishy odor” when exposed to 10% potassium hydroxide (KOH whiff test) |
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Term
important clinical consequences of Gardnerella vaginalis |
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Definition
burning, itching, white or gray, malodorous vaginal discharge with a pH 5.0 to 5.5 |
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Term
Herpes simplex virus definition |
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Definition
viral infection producing ulcerative lesions of vulva, vagina, cervix = Herpes genitalis |
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Term
most common manifestations of Herpes simplex virus |
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Definition
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Term
characteristic methods of dx of Herpes simplex virus |
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Definition
cytologic smear, culture and immunologic methods |
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Term
important clinical consequences of Herpes simplex virus |
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Definition
most important to avoid transmission during childbirth; may be a co-carcinogen. |
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Term
Chlamydia trachomatis definition |
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Definition
Ricketsiae infection that commonly causes cervicitis (chronic follicular) but may ascend to uterus, fallopian tubes, resulting in endometritis and salpingitis (PID). |
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Term
most common manifestations of Chlamydia trachomatis |
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Definition
C. trachomatis is a leading cause of preventable blindness (D-K), Lymphogranuloma venereum - venerally transmitted disease caused by the L-1, L-2, of L-3 serotype of C. trachomatis. Involves regional lymph nodes with production of buboes (abscesses), leading to continued inflammation and scarring - rectal stenosis or chronic genital lymphedema (L1-L3) |
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Term
characteristic methods of dx of Chlamydia trachomatis |
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Definition
culture, immunofluorescence (D-K), - histologic examination, tissue culture (L1-L3) |
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Term
important clinical consequences of Chlamydia trachomatis |
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Definition
chronic cervicitis, PID (D-K) |
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Term
Actinomyces israelii definition |
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Definition
: gram--positive, non-acid-fast, anaerobic bacteria that is associated with use of intrauterine contraceptive devices and other foreign bodies in the female genital tract |
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Term
most common manifestations of Actinomyces israelii |
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Definition
Bacterium associated with long term irritation by foreign bodies, such as IUDs. tampons, pessaries. Often commensal but does have ability to become invasive, cause pelvic actinomycosis |
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Term
characteristic methods of dx of Actinomyces israelii |
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Definition
sulfur granules in culture |
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Term
important clinical consequences of Actinomyces israelii |
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Definition
May affect uterine cervix, fallopian tubes, ovary, and associated pelvic organs. |
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Term
Neisseria gonorrhoeae definition |
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Definition
pyogenic gram-negative diplococci - cause of Gonorrhea |
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Term
most common manifestations of Neisseria gonorrhoeae |
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Definition
infection often produces pelvic inflammatory disease (PID |
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Term
characteristic methods of dx of Neisseria gonorrhoeae |
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Definition
culture, gram stain shows diplococci in cytoplasm of neutrophils |
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Term
important clinical consequences of Neisseria gonorrhoeae |
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Definition
: bilateral tubo-ovarian abscesses, salpingo-oophoritis, pyosalpinx, hydrosalpinx, peritonitis, intestinal obstruction due to adhesions between the small bowel and the pelvic organs, bacteremia, infertility. |
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Term
Treponema pallidum defintion |
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Definition
spirochete - cause of syphilis |
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Term
most common manifestations of Treponema pallidum |
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Definition
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Term
characteristic methods of dx of Treponema pallidum |
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Definition
: silver impregnation, dark-field examination, or immunofluorescent techniques. |
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Term
important clinical consequences of Treponema pallidum |
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Definition
: chancre (on vulva or cervix), rash (generalized), papular lesions (condyloma lata, vulva), involvement of cardiovascular system, central nervous system, liver and other organs. Congenital - late abortion, stillbirth, or perinatal death, infection of lungs, CNS, eye, etc |
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Term
Human papillomavirus (HPV) definition |
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Definition
virus that causes Condyloma acuminatum - genital warts |
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Term
most common manifestations of Human papillomavirus (HPV |
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Definition
Cyto/histo feature – koilocytes |
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Term
characteristic methods of dx of Human papillomavirus (HPV |
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Definition
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Term
important clinical consequences of Human papillomavirus (HPV |
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Definition
May occur in vulva, cervix Viral types 6 and 11 are associated with simple warts. Types 16, 18, 33 are associated with cervical carcinoma. |
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