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
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*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 <br>


== Prevalence  ==
== Prevalence  ==


*Cervicitis is currently rarely reported to epidemiologists making true numbers for prevalence roughly estimated from about 8%-40%
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*About 61% of cervicitis cases are of unknown etiology<br><br>


== Characteristics/Clinical Presentation  ==
== Characteristics/Clinical Presentation  ==


*In many case cervicitis remains asymptomatic
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*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>


== Associated Co-morbidities  ==
== Associated Co-morbidities  ==


*In many cases, Mycoplasma Gentialium bacteria occurs simultaneously with cervicitis
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*Gonnorhea and chlamydia is also commonly found in correlation with cervicitis<br><br>


== Medications  ==
== Medications  ==


*Antibiotics are frequently given once cervicitis is found
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*No other medications are usually prescribed to help with this condition<br>


== Diagnostic Tests/Lab Tests/Lab Values  ==
== Diagnostic Tests/Lab Tests/Lab Values  ==


*In order to diagnose a culture is taken to look for mucopurulent discharge
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*Culture taken to look for specific bacteria like chlamydia, gonnorhea, or mycoplasma genitalium<br>


== Etiology/Causes  ==
== Etiology/Causes  ==


*Cervicitis can be associated with preterm childbirth and pelvic inflammatory disease
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*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<br>


== Systemic Involvement  ==
== Systemic Involvement  ==


*Untreated, cervicitis can lea to pelvic inflammatory disease (PID)
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*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
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*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
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*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<br>


== Differential Diagnosis  ==
== Differential Diagnosis  ==


*Cystic cervicitis
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*Vaginosis
*Vulva vaginitis
*Herpes Simplex Virus<br>


== Case Reports/ Case Studies  ==
== Case Reports/ Case Studies  ==


*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.<br>
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== Resources <br>  ==
== Resources <br>  ==


*https://www.plannedparenthood.org/<br>
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==

Revision as of 10:42, 29 March 2017

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.

Top Contributors - Kacie McClendon, Victoria Loving, Admin, Erica Shelley, Elaine Lonnemann, James Chad Cissell, Tony Lowe, Jason Larimore, Kim Jackson, Olivia Tefera and Wendy Walker  

Definition/Description[edit source]

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Prevalence[edit source]

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Characteristics/Clinical Presentation[edit source]

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Associated Co-morbidities[edit source]

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Medications[edit source]

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Diagnostic Tests/Lab Tests/Lab Values[edit source]

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Etiology/Causes[edit source]

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Systemic Involvement[edit source]

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Medical Management (current best evidence)[edit source]

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Physical Therapy Management (current best evidence)[edit source]

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Differential Diagnosis[edit source]

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Case Reports/ Case Studies[edit source]

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Resources
[edit source]

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Recent Related Research (from Pubmed)[edit source]

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References[edit source]

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