Template:PCPP: Difference between revisions
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== Definition/Description == | == Definition/Description == | ||
*Cervicitis is defined as the inflammatory response of the cervix to a particular stimuli | *Cervicitis is defined as the inflammatory response of the cervix to a particular stimuli | ||
*Can be acute or chronic; with chronic occurring due to inadequate treatment or recurrent inflammation | *Can be acute or chronic; with chronic occurring due to inadequate treatment or recurrent inflammation | ||
*Non-specific cervicitis is the most common; meaning that it is unrelated to an STI like chlamydia or gonnorhea | *Non-specific cervicitis is the most common; meaning that it is unrelated to an STI like chlamydia or gonnorhea | ||
*A single instance or acute cervicitis is usually due to an infection like chlamydia or gonnorhea, while chronic is typically due to a non-infectious source | *A single instance or acute cervicitis is usually due to an infection like chlamydia or gonnorhea, while chronic is typically due to a non-infectious source | ||
*If left untreated cervicitis can lead to pelvic inflammatory disease <br> | *If left untreated cervicitis can lead to pelvic inflammatory disease <br> | ||
== Prevalence == | == Prevalence == | ||
*Cervicitis is currently rarely reported to epidemiologists making true numbers for prevalence roughly estimated from about 8%-40% | *Cervicitis is currently rarely reported to epidemiologists making true numbers for prevalence roughly estimated from about 8%-40% | ||
*About 61% of cervicitis cases are of unknown etiology<br><br> | *About 61% of cervicitis cases are of unknown etiology<br><br> | ||
== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
*In many case cervicitis remains asymptomatic | *In many case cervicitis remains asymptomatic | ||
*If symptomatic, person may experience vaginal discharge, dyspereunia, intermenstrual bleeding, or postcoital bleeding | *If symptomatic, person may experience vaginal discharge, dyspereunia, intermenstrual bleeding, or postcoital bleeding | ||
*Occasionally will present in an abnormal fashion, such as a cervical growth or uterovaginal prolapse, but that is rare and usually due to delayed or no treatment<br><br> | *Occasionally will present in an abnormal fashion, such as a cervical growth or uterovaginal prolapse, but that is rare and usually due to delayed or no treatment<br><br> | ||
== Associated Co-morbidities == | == Associated Co-morbidities == | ||
*In many cases, Mycoplasma Gentialium bacteria occurs simultaneously with cervicitis | *In many cases, Mycoplasma Gentialium bacteria occurs simultaneously with cervicitis | ||
*Gonnorhea and chlamydia is also commonly found in correlation with cervicitis<br><br> | *Gonnorhea and chlamydia is also commonly found in correlation with cervicitis<br><br> | ||
== Medications == | == Medications == | ||
*Antibiotics are frequently given once cervicitis is found | *Antibiotics are frequently given once cervicitis is found | ||
*No other medications are usually prescribed to help with this condition<br> | *No other medications are usually prescribed to help with this condition<br> | ||
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*Cervicitis can be associated with preterm childbirth and pelvic inflammatory disease | *Cervicitis can be associated with preterm childbirth and pelvic inflammatory disease | ||
*Chlamydia, gonnorhea, trichomonas, bacterial vaginosis and mycoplasma genitalium are all seen to contribute to acture, infectious cervicitis | *Chlamydia, gonnorhea, trichomonas, bacterial vaginosis and mycoplasma genitalium are all seen to contribute to acture, infectious cervicitis | ||
*Decreased use of condoms with sexual activity are shown to increase the risk for acquiring cervicitis | *Decreased use of condoms with sexual activity are shown to increase the risk for acquiring cervicitis | ||
*Lower education and multiple sexual partners were also seen to contribute to the condition | *Lower education and multiple sexual partners were also seen to contribute to the condition | ||
*Cytomegalovirus has recently been shown to lead to cervicitis as well<br> | *Cytomegalovirus has recently been shown to lead to cervicitis as well<br> | ||
== Systemic Involvement == | == Systemic Involvement == | ||
*Untreated, cervicitis can lea to pelvic inflammatory disease (PID) | *Untreated, cervicitis can lea to pelvic inflammatory disease (PID) | ||
*Postcoital bleeding is also a common occurence when cervicitis in inadequately or not treated<br> | *Postcoital bleeding is also a common occurence when cervicitis in inadequately or not treated<br> | ||
== Medical Management (current best evidence) == | == Medical Management (current best evidence) == | ||
*Best evidence, is currently antibiotic therapies | *Best evidence, is currently antibiotic therapies | ||
*Complementary and Alternative Medicine is now being introduced to treat this diagnosis<br> | *Complementary and Alternative Medicine is now being introduced to treat this diagnosis<br> | ||
== Physical Therapy Management (current best evidence) == | == Physical Therapy Management (current best evidence) == | ||
*Electrotherapy | *Electrotherapy | ||
*Magnet therapy | *Magnet therapy | ||
*Heat therapy | *Heat therapy | ||
*Light therapy | *Light therapy | ||
*External high frequency calorimetry | *External high frequency calorimetry | ||
*Low frequency pulsed ultrasound therapy | *Low frequency pulsed ultrasound therapy | ||
*Iontophoresis | *Iontophoresis | ||
*Shortwave ultrasound combined with intermediate frequency electrical stimulation | *Shortwave ultrasound combined with intermediate frequency electrical stimulation | ||
*Ozone therapy | *Ozone therapy | ||
*Shortwave diathermy<br> | *Shortwave diathermy<br> | ||
== Differential Diagnosis == | == Differential Diagnosis == | ||
*Cystic cervicitis | *Cystic cervicitis | ||
*Vaginosis | *Vaginosis | ||
*Vulva vaginitis | *Vulva vaginitis | ||
*Herpes Simplex Virus<br> | *Herpes Simplex Virus<br> | ||
Revision as of 23:26, 27 March 2017
Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Top Contributors - Victoria Loving, Kacie McClendon, Admin, Erica Shelley, Elaine Lonnemann, James Chad Cissell, Tony Lowe, Jason Larimore, Olivia Tefera, Wendy Walker and Kim Jackson
Definition/Description[edit source]
- Cervicitis is defined as the inflammatory response of the cervix to a particular stimuli
- Can be acute or chronic; with chronic occurring due to inadequate treatment or recurrent inflammation
- Non-specific cervicitis is the most common; meaning that it is unrelated to an STI like chlamydia or gonnorhea
- A single instance or acute cervicitis is usually due to an infection like chlamydia or gonnorhea, while chronic is typically due to a non-infectious source
- If left untreated cervicitis can lead to pelvic inflammatory disease
Prevalence[edit source]
- Cervicitis is currently rarely reported to epidemiologists making true numbers for prevalence roughly estimated from about 8%-40%
- About 61% of cervicitis cases are of unknown etiology
Characteristics/Clinical Presentation[edit source]
- In many case cervicitis remains asymptomatic
- If symptomatic, person may experience vaginal discharge, dyspereunia, intermenstrual bleeding, or postcoital bleeding
- Occasionally will present in an abnormal fashion, such as a cervical growth or uterovaginal prolapse, but that is rare and usually due to delayed or no treatment
Associated Co-morbidities[edit source]
- In many cases, Mycoplasma Gentialium bacteria occurs simultaneously with cervicitis
- Gonnorhea and chlamydia is also commonly found in correlation with cervicitis
Medications[edit source]
- Antibiotics are frequently given once cervicitis is found
- No other medications are usually prescribed to help with this condition
Diagnostic Tests/Lab Tests/Lab Values[edit source]
- In order to diagnose a culture is taken to look for mucopurulent discharge
- Culture taken to look for specific bacteria like chlamydia, gonnorhea, or mycoplasma genitalium
Etiology/Causes[edit source]
- Cervicitis can be associated with preterm childbirth and pelvic inflammatory disease
- Chlamydia, gonnorhea, trichomonas, bacterial vaginosis and mycoplasma genitalium are all seen to contribute to acture, infectious cervicitis
- Decreased use of condoms with sexual activity are shown to increase the risk for acquiring cervicitis
- Lower education and multiple sexual partners were also seen to contribute to the condition
- Cytomegalovirus has recently been shown to lead to cervicitis as well
Systemic Involvement[edit source]
- Untreated, cervicitis can lea to pelvic inflammatory disease (PID)
- Postcoital bleeding is also a common occurence when cervicitis in inadequately or not treated
Medical Management (current best evidence)[edit source]
- Best evidence, is currently antibiotic therapies
- Complementary and Alternative Medicine is now being introduced to treat this diagnosis
Physical Therapy Management (current best evidence)[edit source]
- Electrotherapy
- Magnet therapy
- Heat therapy
- Light therapy
- External high frequency calorimetry
- Low frequency pulsed ultrasound therapy
- Iontophoresis
- Shortwave ultrasound combined with intermediate frequency electrical stimulation
- Ozone therapy
- Shortwave diathermy
Differential Diagnosis[edit source]
- Cystic cervicitis
- Vaginosis
- Vulva vaginitis
- Herpes Simplex Virus
Case Reports/ Case Studies[edit source]
- Singh N, Arora A. An Extreme Case of Chronic Cervicitis Mimicking Cervical Cancer and Causing Third-Degree Prolapse. Journal Of Gynecologic Surgery [serial online]. December 2014;30(6):380-382. Available from: Academic Search Complete, Ipswich, MA. Accessed February 23, 2017.
Resources
[edit source]
Recent Related Research (from Pubmed)[edit source]
see tutorial on Adding PubMed Feed
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References[edit source]
see adding references tutorial.