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2017 Feb Women's Health > Cervical swabs > Flashcards

Cervical swabs Flashcards

1
Q

What are triple swabs?

A

High vaginal swab, endocervical swab, endocervical chlamydia swab

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2
Q

What pathogens are found on the high vaginal swab?

A

1) Bacterial vaginosis
2) Trichomonas vaginalis
3) Candidiasis
4) Group B strep
5) Syphilis (treponema palladium)

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3
Q

What pathogen are found on endocervical charcoal media swab and how is the swab done?

A

Neisseria gonorrhoea

Place swab in endocervical canal and done a full 360 degree sweep.

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4
Q

What pathogen can be found in the 3rd swab in the triple swab? How is the swab done?

A

Chlamydia

Scrub endocervial region in and out for 10 -30 seconds.

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5
Q

What is the treatment for bacterial vaginosis?

A

Metronidazole ( also to treat PID, endocarditis)

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6
Q

What is the treatment for trichomonas vaginalis infection?

A

Metronidazole

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7
Q

What are the symptoms of trichomonas vaginalis infection?

A

offensive grey green discharge,

superficial dyspareunia, punctuate erythematous (strawberry) appearance.

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8
Q

What are the symptoms of candidiasis infection?

A
  • Cottage cheese white discharge
  • Vulval irritation, inflammation and itching
  • Superficial dyspareunia
  • dysuria
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9
Q

What are the risk factors of candidiasis infection?

A

Pregnancy
Diabetes
Use of antibiotics

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10
Q

What are the signs of candidiasis infection?

A

Red and inflamed vagina and vulva

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11
Q

What are the treatment of candidiasis?

A

Topical imidazoles - e.g.: Canesten (Clotrimazole)

Oral fluconazole

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12
Q

What are the symptoms of chlamydial infection?

A

Often asymptomatic

  • Vaginal discharge
  • Dysuria
  • Pyuria
  • Vague suprapubic pain
  • fever
  • IMB, postcoital bleeding
  • Deep dyspareunia
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13
Q

What syndrome can chlamydial infection cause and what are its characteristics?

A

Reiter’s syndrome

  • Urethritis
  • Conjunctivitis
  • Arthritis
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14
Q

What are the clinical signs of chlamydial infection in females?

A

Inflammed cervix
Follicular, cobblestone appearance in cervix
Cervical bleeding
Abdominal tenderness
Bimanual palpation - Pelvic adnexal tenderness
Cervical excitation

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15
Q

What are the investigations for chlamydial infection?

A

Nucleic acid amplification tests (NAATs) e.g.: PCR

- Endocervical swab

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16
Q

What are the treatment for chlamydial infection?

A
  • Doxycycline - 100mg 7/7 (C/I in pregnancy)

- Azithromycin - 1g single dose

17
Q

What are the symptoms of bacterial vaginosis?

A

Grey white discharge
Fishy odour
Non inflammatory
Non itchy

18
Q

What are the treatments for bacterial vaginosis?
Non- pregnant
Pregnancy

A

Non-pregnant: Metronidazole

Pregnant: clindamycin cream

19
Q

What complication can bacterial vaginosis infection cause?

A

Preterm labour

Pelvis inflammatory disease

2017 Feb Women's Health (5 decks)

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