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9 Cards in this Set

  • Front
  • Back

What are the reasons for normal change in vaginal discharge?

Menstrual cycle


Emotional stressors


Nutritional status


Pregnancy


Usage of medications


Sexual arousal

How does candida albicans present?

itching


burning


large or small amounts of vaginal discharge, often whitish gray and thick


pain during sex


soreness


rash

How does trichomoniasis vaginalis present?

vaginal discharge, yellow/green, frothy


usually has an unpleasant smell


blood spotting


burning or itching sensation in the genitals


genital redness or swelling


an urge to urinate frequently


pain during urination or sexual intercourse

How does bacterial vaginosis present?

An excessive grayish white vaginal discharge, unlike normal vaginal discharge.




Some women describe the discharge as "yellow."A bothersome "fishy" odor, which is usually worse after sex (intercourse).

How does neisseria gonorrhoea present?

Greenish yellow or whitish discharge from the vagina


Lower abdominal or pelvic pain


Burning when urinating


Conjunctivitis (red, itchy eyes)


Bleeding between periods


Spotting after intercourse


Swelling of the vulva (vulvitis)


Burning in the throat (due to oral sex)


Swollen glands in the throat (due to oral sex)

How does chlamydia present?

Abnormal vaginal discharge that may have an odor


Bleeding between periods


Painful periods


Abdominal pain with fever


Pain when having sexItching or burning in or around the vagina


Pain when urinating

What are the non-infective causes of abnormal vaginal bleeding?

Atrophic change (prepubertal or postmenopausal)


Foreign body


Chemical irritation


Excretions (vulvovaginal/rectovaginal fistula)


Serosanguinous discharge (carcinoma or necrotic polyp)

What in the history will be suggestive of candidiasis?

pregnancy


diabetes mellitus


recent antibiotic treatment


immunosuppression


dyspareunia


itchy vulvalirritation


erythema andoedema of the vulvovaginalarea


excoriation of the vulva


presence of curd-like discharge with whiteplaques -

How do we treat AVD?

Yeast infections = antifungal medications inserted into the vagina in cream or gel form.




Bacterial vaginosis = antibiotic pills or creams.




Trichomoniasis is = metronidazole (Flagyl) ortinidazole (Tindamax)