Bleeding 2

Immune System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Postcoital bleeding is an ominous sign - and should always raise consideration of a potential cervical malignancy.\n\nThe other important possibility here is cervicitis (although this should be considered when a malignancy has been excluded).\n\nExamination shows a friable, bleeding cervix and a mucopurulent discharge - features strongly suggestive of cervicitis.\n\nWhile a cervical malignancy with a secondary infection can rarely present in this manner, this is made even less likely by the normal pelvic examination just a few months ago.\n\nCervicitis is almost always infectious in origin. The commonest organisms involved are Chlamydia trachomatis or Neisseria gonorrhoeae.\n\nLess often, trichomoniasis, genital herpes (HSV), bacterial vaginosis and "}]}

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