GYN Infections Flashcards
Where are the Bartholin ducts?
Posterior lateral vaginal opening
What will result if a Bartholin duct is occluded and causes occasional pain, but may be asymptomatic?
Bartholin Cyst
What will result if a Batholin duct cyst then gets infected and becomes an abscess?
Painful, warm and fluctuant mass at the posterior lateral edge of vaginal opening with possible cellulitis
Treatment for Bartholin cysts? Abscess?
Cysts – Supportive
Abscess – I&D
What is Condyloma Acuminata?
Genital warts
What causes Condyloma Acuminata?
HPV 6 or 11
How will Condyloma Acuminata present?
Clusters of skin colored verrucous/flat lesions
+/- bleeding with manipulation
What are 3 possible treatments for Condyloma Acuminata?
- Topical podophyllin resin/acetic acid
- Imiquimod
How does Bacterial Vaginosis occur?
Normal organisms are replaced with Gardnerella Vaginalis
How will Bacterial Vaginosis present?
Thin grey-white vaginal discharge with a fishy odor
Thin grey-white vaginal discharge with a fishy odor
Bacterial Vaginosis
What will the pH of the vagina be with Bacterial Vaginosis? What test will be (+)?
pH > 4.5
(+) Whiff test
What cells will be present with Bacterial Vaginosis?
Clue cells = epithelial cells coated with bacteria
What is the treatment for Bacterial Vaginosis?
Metronidazole
What things can increase your chances of getting Candida Vaginitis?
Obesity/Diabetes
Recent antibotic/OCP use
Immunosuppression
Tight fitting clothing
How will Candida Vaginitis present?
Thick white cottage cheese discharge with possible itching and burning
Thick white cottage cheese discharge with possible itching and burning
Candida Albicans Vaginitis
What may you see with Candida Vaginitis?
Loosely adherent pseudomembrane
What will be seen on KOH prep with Candida Vaginitis?
Pseudohyphae
Treatments for Candida Vaginitis? (2)
Oral Fluconazole
Topical Miconazole
Trichomonas Vaginalis infection is a STI. How will it present?
Green frothy vaginal discharge with possible itching and burning
Green froth vaginal discharge with possible itching and burning
Trichomonas Vaginalis infection
What may be seen at the cervix with Trichomonas Vaginalis?
Strawberry cervix
What will be seen on Saline prep with Trichomonas Vaginalis?
Motile flagellated protozoa
What is the treatment for Trichomonas Vaginalis?
Metronidazole to patient AND PARTNER
What 2 infections commonly cause Cervicitis?
Gonorrhea or Chlamdyia
Cervicitis may be asymptomatic, although how may it present?
Purulent cervical discharge + cervical motion tenderness
Purulent cervical discharge + cervical motion tenderness is likely?
Cervicitis
What causes PID?
Repeated bouts of cervicitis that allow organisms to ascend
Signs of PID?
Pelvic pain + tenderness to palpation @ cervix/adnexa/uterus
+ systemic signs of infection
Signs of PID?
Pelvic pain + tenderness to palpation @ cervix/adnexa/uterus
+ systemic signs of infection
What is the outpatient treatment for PID?
Ceftriaxone + Doxycycline +/- Metronidazole
What is the outpatient treatment for PID?
Ceftriaxone + Doxycycline +/- Metronidazole
What may result from PID, especially if the patient has extreme 1 sided tenderness?
Tubo-ovarian abscess
What is a possible syndrome that can result from PID?
Fitz-Hugh-Curtis Syndrome
Fitz-High-Curtis Syndrome
Perihepatitis = RUQ pain + HIGH LFTs
What causes Toxic Shock Syndrome?
Preformed Staph. Aureus Toxin often after tampon use
What are the signs of Toxic Shock Syndrome?
- Fever and hypotension
- Vomiting/diarrhea
- Red rash that desquamates on the palms/soles
What are the signs of Toxic Shock Syndrome?
- Fever and hypotension
- Vomiting/diarrhea
- Red rash that desquamates on the palms/soles
What is the treatment for Toxic Shock Syndrome?
Rehydration + Antibiotics
= Vancomycin + Clindamycin
