genital syndromes

Question 1

what are microbial conditions not regarded as STIs ?

Answer 1

vulvovaginal candidiasis
bacterial vaginosis
balanoposthitis
tinea cruruis
erythasma
infected sebaceous glands
impetigo
cellulitis

Question 2

what are risk factors for vulvovaginal candidiasis ?

Answer 2

DM
steroids
immune suppression
pregnancy
reproductive age group

Question 3

how do you treat thrush ?

Answer 3

azalea antifungals ;
clotrimazole
fluconazole

Question 4

what is the most common cause of abnormal vaginal discharge ?

Answer 4

bacterial vaginosis

Question 5

what are symptoms of bacterial vaginosis ?

Answer 5

asymptomatic 50%
watery, grey/yellow fishy discharge
may be worse after period/sex
sometimes sore/itchy

Question 6

what is the pathogenesis of bacterial vaginosis ?

Answer 6

biofilm problem
increased gardnerella vaginalis, enterococcus faecalis,
reduced lactobacilli

Question 7

what are complications of bacterial vaginosis ?

Answer 7

associated with endometriosis
premature labour
HIV acquisition

Question 8

how do you treat bacterial vaginosis ?

Answer 8

metronidazole - oral/gel
clindamycin - vaginal
probiotics
vaginal acidification

Question 9

what are lines of questioning if nil exam found/ no test results ?

Answer 9

regretted sexual encounter
problems in life
anxiety