Re: cervicitis

From: dennis eisenberg (deisenberg@email.com)
Wed Mar 31 22:54:15 1999


At Tue, 30 Mar 1999, Braun, R. Daniel wrote: >
>What is generally called cervicitis these days is "Chlamydial" in origin and
>is diagnosed by seeing pus coming out of the cervix. The problem that I have
>seen is that a lot of people are making the diagnosis if they see WBC's on
>wet smear. That is not "Cervicitis".
>Dan
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN
>
> -----Original Message-----
> From: eramirez@icepr.com [SMTP:eramirez@icepr.com]
> Sent: Tuesday, March 30, 1999 6:35 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: cervicitis
>
> Pap? Colpo?...every patient has a cervicitis.
>
> At Tue, 30 Mar 1999, Braun, R. Daniel wrote:

Not to split hairs or anything, but cervicitis is a purulent cervical discharge with a friable cervix on exam, and wet prep demonstrating sheets of WBC's > >
> >What do you mean by "cervicitis"? How are you diagnosing it?
> >Dan
> >R. Daniel Braun, MD FACOG
> >Clinical Professor
> >Department of Obstetrics and Gynecology
> >Indiana U. School of Medicine
> >Indianapolis, IN
> >
> > -----Original Message-----
> > From: deisenberg@email.com [SMTP:deisenberg@email.com]
> > Sent: Tuesday, March 30, 1999 1:32 AM
> > To: Multiple recipients of list OB-GYN-L
> > Subject: cervicitis
> >
> > I have a patient with a persistent cervicitis. She has had
>negative
> >cultures on multiple occasions, and been treated empirically with
>several
> >courses of antibiotics, yet she continues to have a profuse yellow
>cervical
> >discharge with a wet prep showing sheets of WBC's. She has no
>other
> >symptoms. A colleage suggested cryotherapy. Does anyone have
>other
> >recommendations?
> >
> >--
> >
>
> --
> Efrain Ramirez MD FACOG
> "The things you learn after you know everything are the important
>ones"





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