Page 340 - Critical Maternity & Newborn Health Nursing

Fig., (42) Route of infection adopted from

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Acute Gonorrhea

Clinical picture

1- Urethritis. Frequency and burning micturition. Pus may be milked from the

urethra. If a periurethral abscess forms, it is felt through the anterior vaginal wall

as a small tender indurated mass.

2- Bartholinitis. Pain in the region of the gland with oedema of the labium major,

the gland is enlarged, and tender and abscess formation may occur. The opening of

Bartholin duct may appear as a bright red spot.

3- Vulvovaginitis. This occurs in children. There is a purulent vaginal discharge,

vulval soreness and pruritus. The inguinal glands may be enlarged and tender.

4- Pelvic infection. There are symptoms and signs of acute salpingitis or pelvic

peritonitis in severe cases.

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