Repro - Obgyn - Vaginal Discharge

Front 1

Most common form of vaginitis:

Predisposing factors:

Dx:

Tx:

Back 1

bacterial vaginosis

PID, post-op hysterectomy, pregnant women

fishy odor, gray secretions, pH >4.5, clue cell, whiff test

Metro, Clinda

Front 2

Most common cause of yeast infection:

Predisposing factors:

Discharge appearance?

Other dx?

Tx?

Back 2

C. albicans

Abx use, pregnancy, diabetes

cottage cheese

pH normal, funal elements, negative Whiff test

applied azole drugs, also fluc PO

Front 3

Tx for recurrent yeast infections (>4/year):

What % remains asymptomatic after suppression?

profuse, purulent malodorous discharge, vulvar puritis, strawberry cervix:

Tx?

Back 3

Fluc 150 mg q 3 days, 3 doses, then 150 mg weekly for 6 months

50%

Trichomonas

Metro, not vaginal Metro

Front 4

Usual culprits in cervicitis, yellow/green discharge:

Dx?

Tx?

Pathology of inflammatory vaginitis?

Tx?

Back 4

N. gonorrheae, C. trachomatis

friable cervix, quick to bleed, large # PMN's

Gonorrhea - ceftriaxone, cefixime
Chlamydia - Azi, doxy, also ery, ofloxacin, levofloxacin

leptobacillus replaced with strep - desquamative vaginitis - tx with 2% Clinda

Front 5

Atrophic vaginitis is due to:

Microscopy shows:

Tx?

Back 5

loss of estrogen - menopause, surgical

predominance of parabasal epithelial cells, increased leukocytes

topical estrogen, PO estrogen

Front 6

24 y/o woman, c/o itching vaginal discharge; mildly erythematous vulva, thick cottage cheese like discharge, vaginal epithelial cells w/ hyphae, negative Whiff test:

32 y/o Asian female, c/o 3 days of yellow discharge, no odor/pruritus; inflamed genitalia, mucopurulent endocervical discharge, numerous leukocytes:

Back 6

Candida albicans

Gonorrhea, Chlamydia

Front 7

19 y/o female, malodorous vaginal discharge, worsens post intercourse; 18 weeks pregnant, S/S for 1 week; thin clear vaginal discharge, positive Whiff test, positive clue cells:

Back 7

Gardnerella vaginalis