Non-STI infections Flashcards
list some common genital symptoms
- itching
- dishcarge from
- vaginal orifice
- urethral orifice
- fishy smell
- ulcers / plaques
- lumps and swellings
- change in colour
- pain
90% of Vulvovaginal Candidosis is caused by?
Candida Albicans
what is the pathogenesis of Vulvovaginal Candidosis?
usually aquired due to a change in host enironment which triggers pathogenicity
- normally, asymptomatic carriage
where is Candida Albicans often aquired from?
the bowel, as bowel is full of candida species
what is it called when Vulvovaginal Candidosis is symptomatic?
thrush
what are the symptoms of Vulvovaginal Candidosis?
- itch
- dishcarge - characteristic thick, “cottage cheese” discharge
risk factors of Vulvovaginal Candidosis
- diabetes
- steroids
- immunosuppression
- pregnancy
diagnosis of Vulvovaginal Candidosis?
- compatible history
- examination
- fissuring
- erythema with satellite lesions
- characteristic dishcarge
- gram stained sample of discharge sent for culture
treatment of Vulvovaginal Candidosis?
- Clotrimazole cream PV once
- Fluconazole PO once
what is Bacterial Vaginosis the most common cause of?
abnormal vaginal discharge
symptoms of Bacterial Vaginosis?
- asymptomatic in 50% of women
- yellowish / grey discharge
- itching
- fishy smell
- may be worse after period / sex
pathogenesis of Bacterial Vaginosis?
often occurs due to an imbalance of bacteria, not due to infection
-this imbalance is often due to a change in pH of the vagina
complications of Bacterial Vaginosis?
- increased risk of aquiring HIV
- increased chance of endometritis and premature labour
diagnosis of Bacterial Vaginosis?
- compatible history
- on examination- characteristic discharge
- gram stained smear of discharge sent for culture
treatment?
- clindamycin
- vaginally
- metronidazole
- orally
what is zoon’s balanitis ie Plasma Cell Balanitis?
chronic inflammation secondary to overgrowth of commensal bacteria
