vaginal Flashcards
Thin (watery), off-white or discolored (green, gray, tan), sometimes foamy discharge
bacterial vaginosi
Copious, malodorous, yellow-green (or discolored), frothy discharge
Trichomoniasis
Thick white (“cottage cheese”) discharge with no odor
Vulvovaginal Candidiasis (VVC)
which infection has no odor?
Vulvovaginal Candidiasis (VVC)
which infection has no itching?
bacterial vaginosi
fishy? incr with intercourse
bacterial vaginosi
cheesy?
Vulvovaginal Candidiasis (VVC)
erthyma
Vulvovaginal Candidiasis (VVC) Trichomoniasis
Vulvovaginal Candidiasis (VVC) yeast
Candida albicans 80-92%
edema
Vulvovaginal Candidiasis (VVC) Trichomoniasis
intense itching/irritation
Vulvovaginal Candidiasis (VVC)
Vulvovaginal Candidiasis (VVC) exclusion
If this is their 1st time getting this infection, they should be referred for evaluation/treatment
VVC exclusion for self-treatment. age
<12 yo
VVC exclusion for self-treatment, frequency
> 3 VVC infections/year or VVC in the past 2 months
VVC exclusion for self-treatment, medication
Warfarin
VVC exclusion for self-treatment, conditions
HIV, diabetes, fever, pregnancy/lactation
VVC exclusion for self-treatment, length
does not improve in 3 days
last >7 days
VVC exclusion for self-treatment, symptoms change
becomes odorous/frothy/discolored
abdom tenderness
VVC non-drug
less carbs/sugars
yogurt
sitz bath
sitz bath
made of Na bicarb, water
- 1 tsp Na bicarb in 1 pt water
- 30-60 mL of that solution in 2in water
- 15 min prn
VVC drug for initial therapy
Imidazole