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35 Cards in this Set
- Front
- Back
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how many office visits each year
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10mil
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most common cause of vaginal discharge in women?
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BV
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what % of women have BV?
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29 general pop
50 african american |
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BV s/s
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highly asymptomatic (50-75%)
discharge malodorus (fishy) no inflammation/pruritis |
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what kind of discharge does BV present with
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off white
thin homogenous |
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what is the amsel criteria?
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3/4 of these must be present to make BV Dx
discharge vaginal ph >4.5 positive whiff test clue cells on saline wet mount |
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when is KOH used?
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whiff test
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when is saline wet mount used?
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looking for clue cells
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treatment BV
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if non PG and symptomatic
metronidazole 500mg PO BIDx7d clindamycin 300mg PO BIDx7d |
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symptomatic, positive BV, non pg. Treat?
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yes
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non symptomatic, positive BV, non pg. Treat?
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no
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non symptomatic, positive BV, pg. Treat?
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yes
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2nd most common cause of vaginitis symptoms?
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candidiasis
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how many women have candida in vaginal flora?
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10-20%. not all symptomatic
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postmenapausal women more likely or less likely to have candida in vagina
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less.
prepubertal girls too |
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s/s vaginal candidiasis
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pruritis*
dysuria, dyspareunia discharge (not necessary, sometimes none) |
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describe discharge of vaginal candidiasis
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white
thick cottage cheese |
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treat non symptomatic healthy candiasis?
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no
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treatment for uncomplicated, symptomatic candidiasis?
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fluconazole 150mg POx1
multiday topical regimines |
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complicated symptomatic candidiasis treatment
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fluconazole 150mg POx2 (3 days apart)
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PG women, candidiasis, treatment?
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topical clotrimazole x7d
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recurrent symptomatic candidiasis treatment
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fluconazole 150mg POx2 (3 days apart)
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what is the most common non viral STI?
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trich
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trich accounts for how much vaginitis in the US?
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4-35%
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who has the highest incidence of trich?
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older women
AA women |
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trich presentation women
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most asymptoatic
discharge maybe dysuria strawberry cervix |
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which vaginitis has strawberry cervix?
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trich infection
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what kind of discharge does trich have?
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purulent, maladorous, thin
less common: green, frothy, foul smelling |
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trich symptoms in men
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75% symptomatic
urethritis, dysuria, clear discharge |
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what diagnostics for trich?
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wet mount
mobile, flagellated, single cell organism |
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what diagnostic for BV?
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3/4 amsel criteria
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treat an asymptomatic trich?
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yes, treat!
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treatment of trich?
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metronidazole 2g POx1
can't tolerate stomach? same drug, 500mg PO BIDx7d DONT DRINK for 72hrs |
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trich symptomatic PG women treatment?
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metronidazole 2g POx1
can't tolerate stomach? same drug, 500mg PO BIDx7d DONT DRINK for 72hrs |
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trich asymptomatic PG women treatment?
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watchful waiting
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