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Updated: Apr 30 2015


  • Introduction
    • Seen in sexually active women
      • increased risk with unsafe sex practices
    • Can be acute or chronic
      • acute
        • located in transformation zone
        • caused by bacteria, yeast, protozoa, and viruses
          • C. trachomatis, N. gonorrhoeae, T. vaginalis, Candida, HPV, and HSV-2
      • chronic
        • persistence of acute cause
  • Presentation
    • Symptoms
      • vaginal discharge
      • pelvic pain
      • erythematous cervical os
    • Physical exam
      • pain on palpation
      • friability when obtaining sample for culture
  • Evaluation
    • DNA probe
      • detects Chlamydia and N. gonorrhoeae
    • Wet mount
      • detects T. vaginalis
    • Pap smear
  • Prognosis, Prevention, and Complications
    • Follicular cervicitis
      • sequelae of C. trachomatis infection
      • results in ↑ lymphoid infiltrate and metaplasia of squamous cells
      • intracellular Chlamydia results in red vacuoles (reticulate bodies)
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