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ENRP > Vaginal Discharge > Flashcards

Vaginal Discharge Flashcards

1
Q

What are the 3 steps to investigating discharge?

A
  1. History
  2. Nitrazine paper
  3. Microscope
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2
Q

What are the 3 steps to investigating discharge?

A
  1. History
  2. Nitrazine paper
  3. Microscope
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3
Q

What does Nitrazine paper do?

A

Determines vaginal pH

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4
Q

What is a normal vaginal pH?

A

3.8-4.2

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5
Q

What is the most common cause of Vaginitis?

A

Bacterial Vaginosis

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6
Q

What organism is commonly a culprit for Bacterial Vaginosis?

A

Gardnerella Vaginalis

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7
Q

What are some risk factors for Bacterial Vaginosis?

A

Increased number of sexual partners
IUD
Douching
Smoking

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8
Q

What type of discharge is present with Bacterial Vaginosis?

A

Thin milky discharge with fishy odor after sex

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9
Q

What type of discharge is present with Bacterial Vaginosis?

A

Thin milky discharge with fishy odor after sex

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10
Q

What cells are present with Bacterial Vaginosis?

A

Clue cells

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11
Q

What is the pH of the vaginal fluid with Bacterial Vaginosis?

A

> 4.5

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12
Q

What is the treatment for Bacterial Vaginosis?

A

Metronidazole

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13
Q

What organism is usually a culprit for Vulvovaginal Candidiasis?

A

Candida Albicans

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14
Q

What are some risk factors for Vulvovaginal Candidiasis?

A

Increased estrogen
DM
Immunosuppression

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15
Q

What are the symptoms of Vulvovaginal Candidiasis?

A

Itching
Burning
Very little discharge

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16
Q

Very little discharge is usually present with Vulvovaginal Candidiasis. If it is present, what does it look like?

A

Cottage cheese

17
Q

What is the vaginal pH with Vulvovaginal Candidasis?

A

< 4.5

18
Q

What is the treatment for Vulvovaginal Candidiasis?

A

Difulcan + imidazole

19
Q

What organism is commonly a culprit with Trichomoniasis?

A

Flagellated protozoan T. vaginalis

20
Q

Can Trichomoniasis be asymptomatic?

A

YES

21
Q

IF Trichomoniasis has symptoms, what are they?

A

Vaginal irritation

Green discharge

22
Q

What color can the discharge be with Trichomoniasis?

A

Green-yellow

23
Q

What does the cervix look like with Trichomoniasis?

A

Strawberry cervix

24
Q

Strawberry cervix is associated with which STI?

A

Trichomoniasis

25
Q

What is the vaginal pH with Trichomoniasis?

A

> 4.5

26
Q

What is the treatment for Trichomoniasis?

A

Metronidazole

27
Q

Should you test/treat sexual partners if the patient has Trichomoniasis?

A

YES = STI

ENRP (45 decks)

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