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Acute cervicitis
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Acute cervicitis

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Contributors: Mitchell Linder MD
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Synopsis

Acute cervicitis is an inflammatory condition of the cervix usually caused by an infection. Common infections include gonorrhea, Chlamydia, Trichomonas, Gardnerella, Mycoplasma, Ureaplasma, and herpes. Acute cervicitis can also be due to irritation of the cervix from trauma, intercourse, instrumentation, foreign body, chemicals, or allergies. Rarely this could be caused by a malignancy.

This condition can occur in a female of any age but is more common in younger women. Risk factors include multiple sexual partners and having unprotected intercourse. Although the condition can be asymptomatic, patients may present with vaginal complaints including discharge, burning, pain with intercourse, abnormal bleeding, pelvic pain, or bleeding with / after intercourse.

There is a chronic version of this condition as well.

Codes

ICD10CM:
N72 – Inflammatory disease of cervix uteri

SNOMEDCT:
37610005 – Inflammation of cervix

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Pelvic inflammatory disease (PID) – increased WBC count, fever, cervical motion tenderness, abdominal pain
  • Trichomonal vaginitis – wet prep finding or nucleic acid amplification test (NAAT), "strawberry" cervix (erythematous cervix with punctate lesions)
  • Herpes simplex virus – ulcerations of vulva / vagina / cervix, or vesicular lesions

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed: 05/02/2017
Last Updated: 05/02/2017
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Acute cervicitis
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Acute cervicitis : Vaginal discharge, Polymorphonuclear leukocyte predominance, Sexually active, ESR elevated, Purulent cervical discharge
Copyright © 2018 VisualDx®. All rights reserved.