Vaginal Infections Flashcards
Thick, whitish discharge, ODORLESS
significant itching
erythematous vaginal area with edema
Candida albicans
budding yeast or pseudohyphae on wet mount
Candida albicans
Treatment for candida
Vaginal creams, single dose FLUCONAZOLE
When to treat partners for Candida
NOT NECESSARY
Thin, frothy, green-yellow/gray malodorous discharge
“strawberry” appearing cervix; red and inflamed with punctations
Trichomonas (STD)
motile trichomonads and many WBCs on wet mount
trichomonas
Treatment for trich
oral metronidazole for both patient AND PARTNER (STD)
- thin, homogenous vaginal discharge
- fishy odor on “whiff” test
- clue cells on wet mount
- ALKALINE DISCHARGE (pH>4.5)
bacterial vaginosis (majority from gardernella vaginalis)
Treatment for BV
oral metronidazole and/or clindamycin; make sure to treatment even asymptomatic pregnant women too, as it reduces incidence of preterm delivery
Purulent or mucopurulent discharge from endocervix, can be associated with cervical/post coital bleeding
Chlamydia/neisseria gonorrhea
Gold standard for diagnosing NG/CT STI
culture of vaginal discharge
Treatment for NG/CT
treat both together!
NG - ceftriaxione
CT - azithromycin/doxycycline
Lower abdominal tenderness, adnexal and cervical motion tenderness, with or without explanation
PID
What other findings can suggest PID
fever > 101, abnormal cervical discharge, cultures showing gonarrhea/chlamydia, elevated ESR CRP
What to do to differentiate PID and ectopic pregnancy
ALWAYS do pregnancy test when you suspect PID
