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16 Cards in this Set
- Front
- Back
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s/s trich
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pruritis, dysuria, frothy d/c, strawberry cervix, erythematous vulva, 50% asymptomatic
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s/s candida
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pruritis, thick curdy d/c, vulva erythematous c possible lesions fissures, no odor
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s/s candida
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pruritis, thick curdy d/c, vulva erythematous c possible lesions fissures, no odor
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s/s BV
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fishy odor (esp after sex); irritation; 50% asymptomatic; frothy homogenous d/c,
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s/s BV
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fishy odor (esp after sex); irritation; 50% asymptomatic; frothy homogenous d/c,
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trich microscope
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trichomonads, WBC loaded, pH >4.5
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candida microscope
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pH<4.5, hyphae, mycelia
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BV microscope
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clue cells, dec'd or absent lactobacili, no inc WBC, small G+ cocci on stain
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Dx BV
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3/4: whiff test, homogenous d/c, clue cells, pH>4.5
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Dx Trich
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wet mount (50% sensitive): WBC loaded, lactobacilus present, pH > 4.5
Culture is more sensitive |
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Dx Trich
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wet mount (50% sensitive): WBC loaded, lactobacilus present, pH > 4.5
Culture is more sensitive |
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Dx candida
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symptoms (itching, burning, d/c) PLUS wet mount: hyphae, buds, poss inc'd wbcs, normal pH
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candida--what would you prescribe in pregnancy?
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miconazole, cream or suppository PV
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BV tx in preg
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metronidazole, gel or PO
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trich tx in preg
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metronidazole, PO
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Flagyl (aka metronidazole)
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cheap, treats BV & trich in pregnancy, avoid in 1st tri unless benefits outweigh risks, AVOID ETOH, may cause candida infection
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