Complications: ↑PID, post-hysterectomy infections, 2nd-trimester miscarriage/preterm labor, chorioamnionitis, post-CS endometriti

Trichomonas vaginitis STI parasite
purulent discharge ،vulvar pruritus،strawberry cervix”

Vulvovaginal Candidiasis
: Very common; Candida albicans ~90%
RF: antibiotics, pregnancy, diabetes
Severe pruritus; discharge watery → thick;
cervix normal.

treatment): Topical azoles (clotrimazole/miconazole) or fluconazole)

Genital ulcers & warts
HSV
Usually HSV-2; primary painful ulcers, grouped vesicles. Confirm by culture or antibody assay. Treat: acyclovir 400 mg

Primary syphilis
Painless, hard ulcer (chancre)
• Indurated margins
• Appears at site of infection
• Heals spontaneously in 3–6 weeks

Secondary syphilis
Maculopapular rash (including palms & soles)
• Generalized lymphadenopathy
• Fever, malaise, sore throat

Screening VDRL
• RPR
Confirmatory Treponemal tests

Treatment
Benzathine penicillin G
• 2.4 million units IM – single dose

Endocervicitis
50% caused by Neisseria gonorrhoeae or Chlamydia trachomatis.
Dyspareunia
• Mucopurulent discharge
• On speculum: yellow/green purulent discharge from the cervix
• Cervical ectropion (friable, bleeds on contact)

Cervical swab → PCR for gonorrhea & chlamydia

Dual therapy due to resistance.
• Ceftriaxone 250 mg IM single dose
PLUS
• Azithromycin 1 g single dose OR Doxycycline 100 mg BID 7 days

Partner must be treated.

Pelvic Inflammatory Disease
Clinical diagnosis of infection of endometrium, fallopian tubes, ovaries.
Severe cases may progress to peritonitis.

Ascending STIs, mainly gonorrhea & chlamydia

Rf
Multiple sexual partners
• IUCD
• Previous PID
• Procedures (D&C, hysteroscopy, HSG)

Cf
Pelvic pain
• Excessive discharge
• Irregular bleeding
• Fever, chills
• Urinary symptoms

Uterine tenderness
• Adnexal tenderness
• Cervical motion tenderness
• Mucopurulent discharge

Indications for admission


• Surgical emergency not excluded
• Failed oral therapy
• Poor compliance
• Severe illness
• Tubo-ovarian abscess

السلام عليكم

اني د مريم طبيبة اسنان ، الثالثة على دفعتي

بما انو حاليًا موسم سمنارات وبحوث تخرج فـ اني دا اشتغلها ب ادق نسبة بحوث واحدث تصاميم البور وبرامج الكانفا

- مع العلم بحثي بيدي اشتغلته وحصل امتياز


- ⁠ولان طبيبة اسنان ف اعرف المفيد الملخص بالموضوع " مو بعيدة عن الفيلد "


🔻بحوث تخرج

🔻عمل سمنارات (عروض تقديمية بطرق احترافية)

🔻عمل تقارير


- للتواصل على معرف التلي

@maryhadi99

*من البوت*

Endotoxins vs exotoxins

Varicocele causes:
• Increased testicular temperature
• Oxidative stress
• Impaired spermatogenesis
• Leads to:
• Oligospermia
• Teratozoospermia
• Asthenozoospermia

Drowsiness is the most important clinical feature of raised intracranial pressure. It is the portent of rapid neurological deterioration and must never be brushed aside as simply ‘sleepiness’, or disaster will almost certainly occur.