vaginal discharge Flashcards
1
Q
what are the common causes of vaginal d/c?
A
- physiological
- candida
- trichomonas vaginalis
- bacterial vaginosis
2
Q
what are the less common causes of vaginal d/c?
A
- gonorrhoea
- chlamydia
- ectropion
- foreign body
- cervical CA
3
Q
- ‘cottage cheese’ d/c
- vulvitis
- itch
dx?
A
candida
4
Q
- offensive, yellow/green, frothy d/c
- vulvovaginitis
- strawberry cervix
dx?
A
trichomonas vaginalis
5
Q
offensive, thin, white/grey, ‘fishy’ d/c
dx?
A
bacterial vaginosis
6
Q
what is the Amsel’s criteria for dx of bacterial vaginosis?
A
3 out of 4 of:
- thin, white homogenous d/c
- clue cells on microscopy: stippled vaginal epithelial cells
- vaginal pH > 4.5
- +ve whiff test: addition of potassium hydroxide results in fishy odour
7
Q
what is the rx for bacterial vaginosis?
A
oral metronidazole
8
Q
what is the rx for trichomonas vaginalis?
A
oral metronidazole
