male/female reproductive Flashcards
What is normal vaginal pH?
3.8-4.2
What are distinct features of candida infections? How is it treated?
low pH, white curdy discharge, pseudohyphae (spaghetti and meatballs), tx with fluconazole etc.
What are distinct features of bacterial vaginosis? How is it treated?
high pH, thin, white/gray discharge, positive “whiff” test with fishy odor, clue cells, some itching, tx with metronidazole or oral or topical, clindamycin
What are distinct features of chlamydia/nongonococcal urethritis?
irritative voiding symptoms, some drainage, large number WBCs and CERVICITIS, tx with azithromycin 1gm x1 or doxy
What are distinct features of gonorrhoea/gonococccal urethritis? How is it treated?
irritative voiding symptoms, some drainage, large number WBCs, tx with rocephin IM x1, and azithromycin x1 dose.
What are distinct features of trichomoniasis? How is it treated?
dysuria, severe itching, yellow-green vaginal discharge, cervical petechial hemorrhages “strawberry spots” High pH. tx with metronidazole x1 dose
What are distinct features of PID? How is it treated?
cervical motion tenderness, abd pain, fever. tx with rocephin plus doxycycline
How is epididymoorchitis treated in 35 y/o?
> 35 rocephin plus doxy
What type of incontinence is associated with lifting?
stress
What type of incontinence occurs during acute illness?
transient
What type of incontinence occurs in the presence of mobility issues?
functional
What type of incontinence is described as strong sensation of needing to void?
urge
What is a palpable “nest of worms” scrotal mass that is only evident in standing position:
variocele
What is collection of serous fluid that causes painless scrotal swelling easily recognized by transillumination?
hydrocele
What is characterized by scrotal pain and loss of cremasteric reflex?
testicular torsion