GYN Flashcards
MC organism in BV
Gardnerella vaginalis
discharge is watery gray filmy with fishy/musty odor
BV
(+) whiff test and presence of clue cells
BV
Treatment for bacterial vaginosis
Metronidazole (Flagyl) 500mg BID x7
flagellated protozoan T. vaginalis causes
Trichomonas
discharge is copious frothy green with a fishy odor and pruritus
Trich
PE finding indicative of Trichomonas
strawberry cervix
Wet mount showing a motile organism
Trichomonas
discharge is like “cottage cheese” white and clumpy with pruritus
Candidiasis
MCC Candida albicans
wet prep demonstrates pseydohyphae
Candidiasis
Hx of small painless genital ulcer that healed
Now Inguinal LAN with abscess formation
+/- proctitis
Lymphogranuloma Venereum (LGV)
rectal discharge, bleeding, and painful inflammation in MSM recent travel to South America
LGV
Treatment of LGV
Doxycycline 100mg BID x3weeks
Cause of syphilis
Treponema pallidum
corkscrew spaed spirochete
Primary stage of syphilis
painless ulcer at site of exposure
diffuse maculopapular rash with lesions involving palms and soles
secondary syphilis
condylomata lata
moist heads up lesions in intertriginous regions
Different classifications of tertiary syphilis
Neurosyphilis
Cardiovascular (now rare)
Gummatous/Late benign syphilis
Sxs of neurosyphilis-
P: personality- emotional lability A: affect- flat R: reflexes- hyperreflexia E: eye- Argyll-Robertson pupil S: sensorium- illusions, delusions, hallucinations I: intellect- memory & judgement impairment S: speech- slurring \+ tabes dorsalis \+ CN abnl, ocular, & otic manifestations
w/o for syphilis
VDRL or RPR for screening
FTA-ABS is confirmatory