Ch 23 Urogenital System Infections PDF

Chapter 23 : Urogenital system Infections UTI (orinary tract infection] STD STI Cystitis symptoms : dysoria pain on urination ·...

Chapter 23 : Urogenital system Infections UTI (orinary tract infection] STD STI Cystitis symptoms : dysoria pain on urination · = pyoria = pos inurine hematuria : blood Females are more prove to UTIs · more common in elderly ↳ hardfr empty bladder Ab Most common : E Coll. · D. Vulgans · K Pneumoniae. Pyelonephritis usually by bacteria spreading from other parts of urinary system Signs/symptoms back pain fever nausea, vomiting · , can cause Kidney damas can be life-threatening Glomerulonephritis acute or chronic must common cause S ·. pyogenes makes Ags", Abs ↳ travel fo kidney" damaging inflammation NGO = nungonococcal crethritis 2 main types bacterial urthritis 1) Neisseria gonorrhea 2 ) non-gonocal urtheritis. in women can be asymptomatic · in men , mild , discharge/dysuria must common : Chlamydia Trachomitis · · in women causes PID increase risk of cervical carer , · in males, orchitis epididimytis ReproductiveSystem 1 Gonorrhea -N.. gonorrheae most common : 15-24 yrs symptoms : asymptomatic · can have carriers males: dysoria , discharge , orchitis · can become Chronic females : pelvic pain , discharge , dysuria · PID  disseminate > - bacteremia heart :gonoccal endocarditis joints gonoccal arthritis meninges gonoccal meningitis antibiotic Strains Syphillis Treponema pallidum humans - only host transmission : direct contact > - usually sexual Incubation period : 10-90 days stages of Syphilis 1. Primary Stage : Chancre at site of infection painless ↳ ulcerated · site of infection painless sore > - notthat painful infectious 3-6 weeks : heals spontaneously bacteria spread in blood/lymph 2. Secondary syphill is starts when chancre is gone) begun to heal reddish-brown rush palms, soles, scalp , mucous membranes, face · highly contagious ; 2-b weeks 25 % rash recurs. Latent phase 3 can last several years could remain asymptomatic decrease ~40% untreated  4. Tertiary Syphillis non infectious , soft, painless gummas : · skin cardiovascular system skeletal system , newas system · , , Major blood vessel > could burst - spinal cord > - paralysis brain > - personality disorders congenital syphilis -> screen women (insttimetertreat with penicillin-90 % effective) mother (untreated syphilus) > - fetrs (primary or secondary) many cases : Stillbirth complications : anemia , blindness , colesions , Neurosyphill is Viral Infections 1. Genital Herpes · HSV-1 : oral herpes HSV-2 : genital herpes · many infections asymptomatic are fever, chills , swollen lymph nodes > blisters - ↳ increase getting) spreading HIV have only 1 outbreak might have multiple outbreaks screen during 1st trimester. · no cure d female can be infected with ISO for Is trimester - Virus can Cross Placente during pregnancy X Neonatal Herpes ↓ - spontaneous abortion severe disabilities mothur-child , at birth infection, infection usually : in skin eye · good pregnoses Human Papillomas genital 7very · warts · venereal warts common STI condylomata acuminita · 40 HPV strains cause genital warts ~ most resolve spontaneously · Oncogenic APV - usually not strains that cause genital warts HPV 16 , 18 - 70 % Cervical cancers ↳ can cause penile, rectal , oropharyngeal, volvar..... Cancers HPV vaccines Gardasil : HPV strain 6 11 , 16 , 18 , at age 9-15 ↳ given Fungal Infections only major fungal pathogen Candida Sp. · is a dimorphic (mod : yeast & temp dependent) common part of the normal microbiota · usually only causes problems in o urogenital tract-compromised C albicans: Candidiasis. causes fungal vaginitis "yeast infections" symptoms itching (provitis), discharge, : odor -relatively easily treated Protozoan Infections Trichomonas Vaginalis · trichomoniasis = "Trich" most common non-virul STI · · can be asymptomatic in i, ot both symptoms : itching , burning , discharge · · can risk of transmitting (acquiring HIV) associated with pregnancy complications (preterm birth) -