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Women's and Children's health Matrix > GUT Infections > Flashcards

GUT Infections Flashcards

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UMT for Kids flashcards Sight Words (Ages 4-6) flashcards
1
Q

What is the most common presentation for Vulvovaginitis?

A
  • Discharge which is different in colour, consistency, amount, or smell
  • Itchiness of the vulva and opening of the vagina
  • Irritation, dryness, and discomfort
  • Odour of discharge or area
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2
Q

What is the typical presentation for Cervicitis?

A
  • Post coital bleeding
    • Friable cervix - bleeds easily
  • Cervical ectopy / ectopion on exam
    • Soft collumnar cells on the endocervix spreat out through the os, joining the hard squamous epithelium
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3
Q

What are specific risks and complications associated with candidiasis?

A
  • Vaginal oedema
  • Excoriation
  • Fissures
  • Srtictures
  • Fibroids
  • If recurrent –> treatment resistance
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4
Q

What are the specific risks and complications of Bacterial Vaginosis?

A
  • Pregnancy risks
    • Spontaneous abortion
    • Premature labour
    • Chorioamnionitis (infects amniotic fluid)
    • Post-partum endometritis and PID
      • Higher risk after termination and insertion of IUD
  • Increased risk of aquiring STI
    • 2-3x (Chlamydia, Gonorrhoea, HSV, HIV)
    • More infective to partners if HIV+
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5
Q

What are the specific risks and complications of Trichomoniasis?

A
  • PROM
  • Pre-term delivery
  • Low birth weight
  • Post-partum sepsis
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6
Q

What are the specific risks and complications of Chlamydia?

A
  • PID
  • Ectopic pregnancy
  • Tubal infertility
  • Reactive arthritis
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7
Q

What is the typical discharge appearance in candidiasis

A

Cottage Cheese

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8
Q

What is the typical discharge appearance in Bacterial Vaginosis?

A

Thin, white/grey, fishy smelling

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9
Q

What is the typical discharge appearance in Trichomonas Vaginalis

A
  • Frothy green-yellow
  • Profuse
  • Foul smelling
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10
Q

What is the typical discharge appearance in Gonorrhea?

A
  • Purulent, creamy,
  • odourless
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11
Q

What is the typical discharge appearance in Chlamydia?

A
  • Purulent
  • Bloody
  • Odourless
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12
Q

Besides discharge, what other symptoms are typically present in Candidiasis?

A
  • Vulval itch
  • Discomfort
  • excoriation
  • Superficial dyspareunia (painful intercourse)
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13
Q

Besides discharge, what other symptoms are typically present in Bacterial Vaginosis?

A
  • Mostly asymptomatic
  • no itch
  • mild irritation
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14
Q

Besides discharge, what other symptoms are typically present in Trichomoniasis?

A
  • Vulval itch
  • Pain
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15
Q

Besides discharge, what other symptoms are typically present in Gonorrhea?

A
  • Deep dyspareunia
  • Painful defacation
  • Conjuctivitis
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16
Q

What is Vulvovaginitis and what are some non-infectious causes of it?

A

Infection / inflammation of the vulva and vaginal epithelium
Causes:

  • HSV
  • Dermatoses (eczema and psoriasis)
  • Allergic reaction
  • Atrophic vaginitis
  • Vulvar vestibulitis
17
Q

Besides discharge, what other symptoms are typically present in Chlamydia?

A
  • 50% asymptomatic
  • Pelvic pain
  • Bleeding (intermenstrual, post coital)
  • Dysuria
18
Q

How is diagnoisis made for Candidiasis?

A
  • High vaginal swab / self collected vaginal swab
    • MCS
    • Gram stain
    • Culture for pseudohyphae
19
Q

How is diagnoisis made for Bacterial Vaginosis?

A
  • AMSEL criteria (three of)
    • Thin white discharge
    • pH>4.5
    • Clue cells on wet prep / gram stain (coccobacilli over edges of epithelial cells)
      • whiff test (smells fishy with KOH addition)
  • Needs swab
  • Does not need culture if AMSEL criteria are met
20
Q

How is diagnoisis made for Trichomoniasis?

A
  • High vaginal swab (wet prep or PCR)
  • first pass urine
21
Q

How is diagnoisis made for Gonorrhea?

A
  • First pass urine
  • endocervical swab . vaginal swab (PCR and culture)
22
Q

How is diagnoisis made for Chlamydia?

A
  • First pass urine
  • Vaginal swab (Culture and PCR)
23
Q

What is the emprical treatment for Candidiasis?

A

Fluconazole / clomtrimazole

24
Q

What is the emprical treatment for Bacterial Vaginosis?

A

Metronidazole

25
Q

What is the emprical treatment for Trichomoniasis?

A

Metronidazole

26
Q

What is the emprical treatment for Gonorrhea?

A

Ceftriaxone

27
Q

What is the emprical treatment for Chlamydia?

A

Doxycycline / azythromycin

28
Q

What are the common non-viral infectious causes of vulvo-vaginitis?

A
  • Candidiasis
  • Bacterial vaginosis
29
Q

What are the common non-viral infectious causes of cervicitis?

A
  • Trichomoniasis
  • Gonorrhea
  • Chlamydia
30
Q

What other STI needs to be tested for if a patient is symptomatically presenting for Chlamydia Gonorrhea? and what is its significance

A
  • M. genitalium
  • High rates of macrolide resistance (needs test of cure 2W post treatment)
  • Same complications as Chlamydia

Women's and Children's health Matrix (34 decks)

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