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CERVICITIS - Coggle Diagram
CERVICITIS
NURSING CARE
- Rest in bed according to supine or recumbent, semi fowler and fowler position.
- Taking and monitoring vital sign such as blood pressure, pulse rate, respiration rate, temperature and pain score for show progress towards recovery.
- Insert and monitoring intravenous normal saline drip to avoid electrolyte imbalance.
- Administration medication according to prescription such as right patient, right dosage, right time, right medication, right route, right documentation and right refuse.
- Taking blood specimen and labelling sample for investigation purpose.
- Record tracking and saving documentation for support diagnosis and as proof of activities.
- Provide emotional support
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HEALTH EDUCATION
- Attending follow up treatment according to time and date given by doctor.
- Take the medication according to doctor prescription such as 2 times per day (BD), 3 times per day (TDS), 4 times per day (QID), Immediately (stat), when necessary (PRN).
- Consume a balance diet based on the food pyramid such as intake of high intake protein food, carbohydrate food, vegetables and fruits.
- Encourage drinking 8 glasses of boiled water a day to prevent dehydration in the body.
- Avoid drinking alcohol and smoking cigarettes because it can affect health.
- Practice a healthy and active lifestyle by doing light exercise such as jogging, walking, yoga and so on for a speedy recovery capability .
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- Keep clean and dry especially the private part.
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ETIOLOGY
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- Gonorrhea
- Chlamydia
- Trichomoniasis
- Genital herpes
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- Local trauma/ irritation
- Malignant
- Radiation
DIFFERENTIAL DIAGNOSIS
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- Pelvic inflammatory disease
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INVESTIGATIONS
- History taking and physical examination
- Blood test : Full Blood Count
- Radiology or imaging : - X ray
- Others :
- Swab test
- Pap smear
- Pelvic exam
CLASSIFICATIONS
- Acute cervicitis : cause by infections
- Chronic cervicitis : cause by non infections (irritation)
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DEFINITION
Inflammation of the cervix, the lower, narrow end of the uterus that opens into the vagina.
RISK FACTORS
- Engage in high - risk sexual behaviour
- Have sexual intercourse in early age
- Have history sexual transmitted
PATHOPHYSIOLOGY
- Due to etiological factors
- Infection of cervix, become inflammation
- Release cytokines to immune system
- Vasodilation of capillaries and arteries
- Increase local blood volume
- Increase intravascular hydrostatic pressure
- Fluid shifts into surrounding tissue
CLINICAL MANIFESTATIONS
- Fever
- Abnormal vaginal discharge
- Vaginal bleeding
- Painful urination
- Pain or bleeding after intercourse
- Backache
- Abdominal pain
- Postmenopausal bleeding
- Vaginal irrittation
- Colonoscopy : test to look closer the cervix
MANAGEMENT
(symptomatic)
- Anti analgesic and antipyretic : Tab Paracetamol 1000gm
- NSAID : Tab Mefenamic Acid 500mg, Tab Aspirin 300-600mg, Tab Ibuprofen 200-300mg
- Phenazopyridine 500mg
- Clotrimazole 200mg
ANTIVIRAL
(specific)
- Acyclovir 200mg
- Valacyclovir 500mg