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18 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Causes of vulvovaginitis |
Candida T. vaginalis Bacteria vaginitis |
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Sexually transmitted |
T. Vaginalis Normally not found in vagina |
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T. Vaginal on vagina Ph |
Increase vagina Ph >4.5 A positive whiff test |
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Candidiasis vaginal features |
Erythema Little or no discharge (curd-like vaginal discharge) If present it is thick and CHEESY perivaginal itching |
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T. Vaginalis |
Profuse discharge Yellow-green Offensive odor Itching |
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Not sexually transmitted vaginal infection ? |
Vulvitis Desquamative inflammatory vaginitis |
2 |
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Risk for candidiasis |
Diabetes mellitus Impair phagocytic action Tight clothing hiv infection Multiple sexual partners? NO!!! |
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Clinical features of vaginal candidiasis |
Papulopustules Thick adherent dicharge Can be thin and loose |
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Diagnosis of vaginal candidiasis |
Vaginal ph is normal No odor with KOH |
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Treatment of VC |
nystatin Miconazole Clotrimazole Butoconazole Terconazole Tioconazole Oral fluconazole |
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Bacteria vaginosis characteristics |
Fishy vaginal discharge No inflammation and erythema Increase in vaginal ph >5 Whiff test is + Usually there's abdominal discomfort Contain grayish thin HOMOGENOUS DISCHARGE |
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Clue cells |
Gadnerella vaginalis BV Epthl cells +coccobacilli |
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Causes of BV |
A synergistic work between G. Vaginalis and some other bacteria that colonize the vagina |
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BV predisposes to |
Salpinghitis Endometritis HSV-1 infection |
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Diagnosis |
Increase in vagina Ph >4.6 Odor is produced on addition of 10% KOH(+whiff test) Fishy odor due to amine Presence of clue cells
PCR |
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Amsel criteria for bv diagnosis |
Homogeneous discharge >4.6 Ph positive whiff test Clue cells
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Rx of BV |
Metronidazole (single dose is less effective compare to T. Vaginalis) Metronidazole gel Clindamycin cream |
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Bacteria agents |
Chlamydia Chancroid Ghnorrhea Granuloma inguinale Syphilis |
C C G G S |
