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Y4R5 - Gynecology I 👩‍🍼 > L1: Vulvovaginitis > Flashcards

L1: Vulvovaginitis Flashcards

1
Q

Normal barriers protecting against genital infection

A
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2
Q

Normal barriers protecting against genital infection

  • Vulva
A
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3
Q

Normal barriers protecting against genital infection

  • Vagina
A
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4
Q

Normal barriers protecting against genital infection

  • Cervix
A
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5
Q

Normal barriers protecting against genital infection

  • Upper Genital Tract
A
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6
Q

Classifications of female genital tract infection

A
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7
Q

Classifications of female genital tract infection

  • Anatomical
A

Lower genital tract infection: infection below internal os (vulvitis, vaginitis & cervicitis).

Upper genital tract infection: Infection above internal os (PID).

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8
Q

Classifications of female genital tract infection

  • Etiological
A

- Sexually transmitted diseases (STDs).

- Blood born infections: mostly TB and rare now.

- Endogenous infections: caused by overgrowth of microbial agents that are normal Inhabitants (as candida albicans or bacterial vaginosis).

- Non-specific infections: caused by inappropriate infection prevention measures:

a. Puerperal or post-abortive.

b. After pelvic examination.

c. Traditional practice (female genital mutilation or vaginal tampons

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9
Q

Def of Vulvovaginitis

A
  • inflammation of vulva & vagina
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10
Q

Incidence of Vulvovaginitis

A

commonest outpatient gynecologic problem

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11
Q

Causes of Vulvitis

A
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12
Q

Causes of Vulvitis

  • 1ry
A
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13
Q

Causes of Vulvitis

  • 2ry
A
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14
Q

Causes of Vaginitis

A
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15
Q

Causes of Vaginitis

  • 1ry
A
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16
Q

Causes of Vaginitis

  • 2ry
A
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17
Q

Etiology of Vulvovaginitis of children

A
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18
Q

CP of Vulvovaginitis of children

A
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19
Q

CP of Vulvovaginitis of children

  • Symptoms
A
  • Pain, tenderness, offensive vaginal discharge & dysuria.
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20
Q

CP of Vulvovaginitis of children

  • Signs
A
  • Vulva looks swollen, red & covered with purulent vaginal discharge.
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21
Q

TTT of Vulvovaginitis of children

A
  • Treatment of the cause.
  • Local cleanliness.
  • Small dose of estrogen (to help eradication of infection).
22
Q

Etiology of Atrophic (senile) vaginitis

A
  • Lack of estrogen (as in postmenopausal women or in prepubertal age).
23
Q

CP of Atrophic (senile) vaginitis

A

Vagina becomes smooth, dry, thin with itching and severe dyspareunia

24
Q

TTT of Atrophic (senile) vaginitis

A
  • Local conjugated estrogen cream.
25
Q

Def of Bartholinitis

A

inflammation of Bartholin glands

26
Q

Etiology of Bartholinitis

A
  • Gonorrhea or non-specific infection.
27
Q

CP of Bartholinitis

A
  • Gland becomes palpable as mass in the posterior 1/3 of labia majora, tender with abscess formation in some cases
28
Q

TTT of Bartholinitis

A

antibiotics and drainage (if abscess forms) OR marsupialization with recurrent cases.

29
Q

Another Name of Candidiasis

A

Moniliasis

30
Q

Incidence of Candidiasis

A

it is the second most common cause of vaginitis.

31
Q

Causative Organsims of Candidiasis

A
  • candida albicans 90% of cases, c. tropicalis and c. glabrata 10% of cases
32
Q

PPT Factors for Candidiasis

A
  • Flourishes in acidic media
  • so common in diabetics, during pregnancy, with antibiotic use, with COCs, with antibiotics or steroids and immunosuppressive drugs.
33
Q

Symptoms of Candidiasis

34
Q

Signs of Candidiasis

35
Q

INVx for Candidiasis

36
Q

TTT of Candidiasis

37
Q

Incidence of Trichomoniasis

A

the third most common cause for vaginitis

38
Q

Causative Organsim of Trichomoniasis

39
Q

PPT Factors for Trichomoniasis

A

Flourishes in weak acid medium pH 5.5-6.5

40
Q

Sites of Trichomoniasis

A

It commonly affects vagina, urethra, Skene’s tubules, bladder and cervix.

41
Q

MOT of Trichomoniasis

A
  • sexual intercourse and contaminated
    towels and instruments
42
Q

Symptoms of Trichomoniasis

43
Q

Signs of Trichomoniasis

44
Q

INVx for Trichomoniasis

45
Q

TTT of Trichomoniasis

46
Q

Incidence of Bacterial vaginosis

A

is the most common cause of vaginitis

47
Q

Causative Organism of Bacterial vaginosis

A
  • alternation of normal flora; decrease lactobacilli and increase Gardnerella and anaerobes.
  • Sexually transmitted???
48
Q

Symptoms of Bacterial vaginosis

A
  • 50% may be asymptomatic
  • BUT there may be thin excessive greyish frothy malodorous discharge with pruritus
49
Q

Signs of Bacterial vaginosis

A

Characteristic discharge and vulvovaginitis

50
Q

INVx in Bacterial vaginosis

51
Q

TTT of Bacterial vaginosis

Y4R5 - Gynecology I 👩‍🍼 (18 decks)

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