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17 Cards in this Set
- Front
- Back
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What changes occur to the vaginal flora with bacteria vaginosus?
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Normal: High levels of Lactobacillus, low levels of BV flora
BV: High levels of BV flora (mostly anaerobes) & low Lactobacillus |
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What complication are associated with bacterial vaginosis in pregnancy?
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- SPROM
- Pre-term labour - Post-partum endometritis |
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Vaginal discharge with a 'fishy' odour
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Bacterial vaginosis
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Speculum examination for vaginal discharge show:
- pH >5.0 - No inflammation - Discharge was homogenous & thin gray, fishy odour - Wet culture: 'clue cells' in saline prep |
Bacterial vaginosis
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How is bacterial vaginosis treated?
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- Metromidazole (safe in pregnancy)
- Clindamycin |
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What changes occur to the vaginal flora with bacteria vaginosus?
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Normal: High levels of Lactobacillus, low levels of BV flora
BV: High levels of BV flora (mostly anaerobes) & low Lactobacillus |
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What complication are associated with bacterial vaginosis in pregnancy?
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- SPROM
- Pre-term labour - Post-partum endometritis |
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Vaginal discharge with a 'fishy' odour
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Bacterial vaginosis
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Speculum examination for vaginal discharge show:
- pH >5.0 - No inflammation - Discharge was homogenous & thin gray, fishy odour - Wet culture: 'clue cells' in saline prep |
Bacterial vaginosis
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How is bacterial vaginosis treated?
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- Metromidazole (safe in pregnancy)
- Clindamycin |
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Vaginal discharge with itching & buring
Speculum exam show: - pH >5.0 - Inflammation - Green, frothy discharge - 'Strawberry' cervix |
Trichomonas Vaginitis
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Itching & buring vaginal discharge
Wet culture: Trich, WBC, in Saline prep, pH >5.0 |
Trichomonas Vaginitis
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Vaginal discharge
Wet culture: 'Clue' cells in saline prep |
Bacterial vaginosis
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How is Trichomonas Vaginitis managed? What precaustion should you give the patient?
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a) Metronidazole (ok in pregnancy)
b) - Do NOT drink alcohol - Partner needs to be treated |
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Vaginal discharge with itching & buring
Speculum exam: - pH <4.5 - Inflammation - White curdy (cottage cheese) discharge |
Vulvovaginal candidiasis
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Vaginal dischare with itching & buring
Wet culture: Hyphae Yeast in KOH prep |
Vulvovaginal candidiasis
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How is vulvovginal candidiasis treated?
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General advise: avoid using soaps, perfumes or synthetic underwear
- Azoles/imidazoles (e.g. clotrimazole) creams/pessaries - Oral imidazole (e.g. fluconazole) |
