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obs-gyne Womens Health > Vaginal Thrush > Flashcards

Vaginal Thrush Flashcards

1
Q

Other names for vaginal thrush?

A
  1. Vulval vaginal candida
  2. Gentail thrush
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2
Q

What are you looking for when doing external genital exam for recurent thrush?

A

Vuvlovaginal inflmmation
Fissures
Excoriation

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3
Q

What does fissure mean?

A

Tear / Split

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4
Q

What does excoriation mean?

A

skin peal apart

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5
Q

What type of swab to do for candida?

A

High vaignal swab

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6
Q

What is the difference between fissure and ulcer?

A

Fissure - linear tear
Ulcer - open sore, extendeing deeper that top layer

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7
Q

What is vaginal douching?

A

Clean / soak vaingal

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8
Q

Tx fauilre of vaginal Thrush definition?

A

Symptoms 7-14/7 persistent post Tx.

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9
Q

What is the type of Vaginal discharge of thrush?

A
  1. NOT smelly
  2. White
  3. Cheese like appearance
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10
Q

Typical sx vaginal thrush

A

Itching vagina

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11
Q

Dyspareunia mean?

A

Painful sex

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12
Q

Class of medication is Fluconazole?

A

Azole antifungal

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13
Q

Class of medicatio if Clotrimazole?

A

Imidazole antiFungal

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14
Q

First line Rx Vulvovaginal Thrush?

A
  1. Fluconazole 150mg PO caps Stat
  2. Clotrimazole 500mg Intravaginal pessary Stat
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15
Q

Additional Rx for itchiness (vulvavaginal) thrush symptoms (in adiditon to either PO / Intravaginal )?

A

Clotrimazole 1% - 2% cream, TDS

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16
Q

first line Rx recurrent Thrush?

A

Induction: Fluconazole 150mg PO STAT, o/7, then 3/7, then 6/7 (3 doses)

Mainanence: Fluconazole 150mg PO once a week 6/12 (can inc to biweekly)

17
Q

Breast feeding womann with vuvavaginal Thrush Rx:

A

No PO antifungal

Rx: topical Clotrimazole for induction and maintenance.

18
Q

Rx pregnancy with Thrush?

A

Clotrimazole 500mg Pessary 7/7

19
Q

Rx recurrent vulvavaginal Thrush in pregnancy?

A

Induction: clotrimazole 500mg pessary NOCTE 10-14/7

Maintanence: Clotrimazole 500mg pessary intravaginally NOCTE once a week 6/12

obs-gyne Womens Health (9 decks)

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