DDx of female genital discharge Flashcards
in practice what are the most common microbial causes found ?
overgrowth of vaginal commensals
what are the types of physiological discharge in women ?
at the beginning and at the end of their cycle , thick white discharge may be present
during the middle of the cycle clear and stretchy discharge may be present also known as fertile mucoid
in what cases can we see an increase in vaginal discharge ?
during pregnancy
or when on OCP
what are the predisposing factors for thrush ?
- immunocompromised - pregnancy , DM
- broad spectrum antibiotics - super infection
- intra-uterine devices
- tight under garnment
what does the discharge look like in cases of thrush ?
white, curdy itchy discharge
what is the treatment for thrush ?
use of anti-fungals such as fluconazole
what is the cause of bavterial vaginosis ?
overgrowth of bacterial commensals (lactobacilli) due to decrease inn lactic acid levels , leaving the pH of the vagina alkalotic
what are the predisposing factors to BV ?
more common in african americans tight clothing smoking intra-uterine devices active sexual life genital washing
what is the presentation of bacterial vaginosis ?
fishy, grey discharge especially after sex
what is the treatment for BV ?
metronidazole
clindamycin vaginal cream
what is the cause of trochmoniasis ?
caused by trochmantis vaginalis which is a protozoa
what is the clinical presentation of TV ?
frothy green discharge
what is the treatment for TV ?
metronidazole
if your patient is to be diagnosed with chlamydia or gonorrhea what is imortnat to also check for ?
signs of pelvic inflammatory diseases
which of the diseases mentioned are NOT an STI ?
bacterial vaginosis
Thrush
