Lower genital tract infections Flashcards
conditions that can predispose to vaginitis
Hormone lvls Vaginal pH Blood seminal fluid systemic infections Menopause DM
Most prevalent cause of vaginitis in women ages 15-44
years
Bacterial vaginosis
if the vaginal pH is less acidic you might be dealing with
trichomonas or BV
if the vaginal pH is more acidic you might be dealing with
Candidiasis
Amsel’s criteria for BV
any 3:
homogenous vaginal discharge, grey and aherent to v wall
vaginal ph >/ 4.5
vaginal dishcarge w/ amine odor or without KOH (whiff test)
Presence of clue cells
treatment for BV
metronidazole
Thick curdy discharge, resembling cottage cheese,
vaginal erythema, burning and non-smelling
candida vaginitis
treatment for uncomplicated candida vaginitis
fluconazole
Topical antifungal- clotrimazole
treatment for complicated candida vaginitis
fluconazole
topical azole
• An anaerobic flagellate protozoan that lives only in
vagina, Skene’s ducts, and urethra
• Can be transmitted by sexual contact, but can occur via
fomites; survives in swimming pools and hot tubs.
T vaginalis
Px came in for vaginal pruritus, with pain and urination and intercourse she also complained that there is a frothy, thin yellow-green with rancid odor discharge on her vagina. Speculum exam showed petechiae or strawberry patches.
What is would be your treatment for this px.
Metronidazole 2g orally as single dose
Tinidazole
avoid alcohol
T pallidum enters the mucus mem and skin thru
ulceration or minute traumatic defects
diagnosis for syphilis would include
dark field microscopy
Treatment for Primary/secondary/early latent syphilis
Pen G
Doxy if allergic to pen
treatment for late latent/ tertiary syphilis and CV sx
Pen G IM weekly for 3 doses
Doxy if allergic to pen
