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Unformatted text preview: Discharge KO Disease Etiology Smell Color Consistency Tests Other signs/ symptoms Tx 4 Neisseria gonorrhoeae; Gonorrhea It is a reportable disease. Gram-negative diplococcus that is transmitted during sexual activity with infected individual In women, if left untreated, salpingitis can occur and cause scarring of tubes and sterility. No odor is mentioned in the references I looked at. Purulent vaginal discharge; Yellow, particularly in men Creamy, particularly in men. Gram-stain of from a pap-smear collection, but i less often positive in women. Positive ID from selective media. Secretion are examined under oil immersion, gram-negative diplococci that are oxidase positive (bubble when peroxide is placed on them) and obtained from selective media (Thayer-Martin or Transgrow) signify gonorrhea. Enzyme immunoassay from cervical swab or urine can also detect gonorrhea. Often asymptomatic early on. Lower genitourinary tract and vaginal discharge, urinary frequency or dysuria, rectal discomfort. Vulva, vagina, cervix, and urethra may inflame and itch or burn. Bartholinitis: swelling of the Bartholins duct and gland (unilaterally). Conjunctivitis in adults is by autoinoculation, but occurs in neonates from birthing. If patient has gonorrhea, other STDs should be suspected, especially chlamydia. You treat for one, you treat for the other. Doxycycline (non- pregnant patients) 100 mg PO b.i.d. x 7 days with ceftriaxone 125 mg IM once , which is the treatment of choice in uncomplicated gonorrhea. Or azithromycin 1 g PO single dose. Quinolines not used if pt is Asian or Pacific islander, and inadvisable for Californians with gonorrhea....
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This note was uploaded on 02/18/2012 for the course PAS 600 - 601 taught by Professor Garrubba during the Fall '10 term at Chatham University.
- Fall '10