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Clin Med Women's Health - Ashley & Lauren > Reproductive Infections - LL > Flashcards

Reproductive Infections - LL Flashcards

1
Q

2 most common bugs that can lead to PID:

A

Neisseria gonorrhoeae, Chlamydia trachomatis

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2
Q

On pelvic exam, what finding could be most diagnostic for PID?

A

Cervical motion tenderness!

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3
Q

Potential complications of PID?

A
  • Fitz-Hugh-Curtis syndrome in the liver!

* Infertility!

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4
Q

Primary skin finding of Syphillis?

A

Chancre on labia, vulva, vagina, cervix, anus, lips, or nipples

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5
Q

Secondary skin finding of Syphillis?

A

Condyloma latum

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6
Q

Tertiatary skin finding of syphillis?

A

Gummas

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7
Q

What is a diagnostic lab finding of Trichimonas?

A

If see motile T. Vaginalis on wet mount then no need to culture

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8
Q

What is the pathognomonic description of Trichimonas discharge?

A

Thin, malodorus, purulent, frothy discharge

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9
Q

How do you treat Trichimonas? What do you need to do after you successfully treat it?

A

Metronidazole - need to re-screen in 3 months since it has such a high-rate of reinfection!

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10
Q

BV is just an overgrowth of what bug, a normal part of your flora…

A

Gardnerella vaginalis

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11
Q

Does BV present with pain?

A

NO

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12
Q

What is the most bothersome symptom of BV?

A

FISHY odor! yummmm

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13
Q

What criteria can be used to diagnose BV?

A 
Amsel criteria: (need 3+)
•	white/gray discharge coating vaginal walls
•	>20% clue cells 
•	pH > 4.5
•	Positive Whiff test
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14
Q

What are we worried about if a pregnant woman develops BV?

A

many complications –> preterm labor, preterm premature rupture of membranes, chorioamnionitis, and endometritis

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15
Q

Does BV put you at risk for contracting any STIs?

A

YES

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16
Q

What patient ed does Metronidazole require?

A

NO ALCOHOL WHILE ON AND 24hr AFTER

17
Q

What effect does HIV have on HSV?

A

HIV patients can have prolonged or severe episodes, HSV shedding is also increased

18
Q

What are the 2 most prevalent STIs?

A

Chlamydia & Gonorrhea

19
Q

What is the most commonly used method of diagnosis for Chlamydia and gonorrhea?

A

NAAT

Clin Med Women's Health - Ashley & Lauren (9 decks)

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