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COMAT - OBGYN > GYN Infections > Flashcards

GYN Infections Flashcards

1
Q

Where are the Bartholin ducts?

A

Posterior lateral vaginal opening

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2
Q

What will result if a Bartholin duct is occluded and causes occasional pain, but may be asymptomatic?

A

Bartholin Cyst

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3
Q

What will result if a Batholin duct cyst then gets infected and becomes an abscess?

A

Painful, warm and fluctuant mass at the posterior lateral edge of vaginal opening with possible cellulitis

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4
Q

Treatment for Bartholin cysts? Abscess?

A

Cysts – Supportive
Abscess – I&D

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5
Q

What is Condyloma Acuminata?

A

Genital warts

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6
Q

What causes Condyloma Acuminata?

A

HPV 6 or 11

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7
Q

How will Condyloma Acuminata present?

A

Clusters of skin colored verrucous/flat lesions
+/- bleeding with manipulation

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8
Q

What are 3 possible treatments for Condyloma Acuminata?

A
  • Topical podophyllin resin/acetic acid
  • Imiquimod
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9
Q

How does Bacterial Vaginosis occur?

A

Normal organisms are replaced with Gardnerella Vaginalis

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10
Q

How will Bacterial Vaginosis present?

A

Thin grey-white vaginal discharge with a fishy odor

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11
Q

Thin grey-white vaginal discharge with a fishy odor

A

Bacterial Vaginosis

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12
Q

What will the pH of the vagina be with Bacterial Vaginosis? What test will be (+)?

A

pH > 4.5
(+) Whiff test

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13
Q

What cells will be present with Bacterial Vaginosis?

A

Clue cells = epithelial cells coated with bacteria

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14
Q

What is the treatment for Bacterial Vaginosis?

A

Metronidazole

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15
Q

What things can increase your chances of getting Candida Vaginitis?

A

Obesity/Diabetes
Recent antibotic/OCP use
Immunosuppression
Tight fitting clothing

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16
Q

How will Candida Vaginitis present?

A

Thick white cottage cheese discharge with possible itching and burning

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17
Q

Thick white cottage cheese discharge with possible itching and burning

A

Candida Albicans Vaginitis

18
Q

What may you see with Candida Vaginitis?

A

Loosely adherent pseudomembrane

19
Q

What will be seen on KOH prep with Candida Vaginitis?

A

Pseudohyphae

20
Q

Treatments for Candida Vaginitis? (2)

A

Oral Fluconazole
Topical Miconazole

21
Q

Trichomonas Vaginalis infection is a STI. How will it present?

A

Green frothy vaginal discharge with possible itching and burning

22
Q

Green froth vaginal discharge with possible itching and burning

A

Trichomonas Vaginalis infection

23
Q

What may be seen at the cervix with Trichomonas Vaginalis?

A

Strawberry cervix

24
Q

What will be seen on Saline prep with Trichomonas Vaginalis?

A

Motile flagellated protozoa

25
Q

What is the treatment for Trichomonas Vaginalis?

A

Metronidazole to patient AND PARTNER

26
Q

What 2 infections commonly cause Cervicitis?

A

Gonorrhea or Chlamdyia

27
Q

Cervicitis may be asymptomatic, although how may it present?

A

Purulent cervical discharge + cervical motion tenderness

28
Q

Purulent cervical discharge + cervical motion tenderness is likely?

A

Cervicitis

29
Q

What causes PID?

A

Repeated bouts of cervicitis that allow organisms to ascend

30
Q

Signs of PID?

A

Pelvic pain + tenderness to palpation @ cervix/adnexa/uterus
+ systemic signs of infection

31
Q

Signs of PID?

A

Pelvic pain + tenderness to palpation @ cervix/adnexa/uterus
+ systemic signs of infection

32
Q

What is the outpatient treatment for PID?

A

Ceftriaxone + Doxycycline +/- Metronidazole

33
Q

What is the outpatient treatment for PID?

A

Ceftriaxone + Doxycycline +/- Metronidazole

34
Q

What may result from PID, especially if the patient has extreme 1 sided tenderness?

A

Tubo-ovarian abscess

35
Q

What is a possible syndrome that can result from PID?

A

Fitz-Hugh-Curtis Syndrome

36
Q

Fitz-High-Curtis Syndrome

A

Perihepatitis = RUQ pain + HIGH LFTs

37
Q

What causes Toxic Shock Syndrome?

A

Preformed Staph. Aureus Toxin often after tampon use

38
Q

What are the signs of Toxic Shock Syndrome?

A
  • Fever and hypotension
  • Vomiting/diarrhea
  • Red rash that desquamates on the palms/soles
39
Q

What are the signs of Toxic Shock Syndrome?

A
  • Fever and hypotension
  • Vomiting/diarrhea
  • Red rash that desquamates on the palms/soles
40
Q

What is the treatment for Toxic Shock Syndrome?

A

Rehydration + Antibiotics
= Vancomycin + Clindamycin

COMAT - OBGYN (12 decks)

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