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CLASS 22010 GU > Vaginitis > Flashcards

Vaginitis Flashcards

1
Q

Inflammation and infection of the vagina are common gynecologic complaints known as what?

A

Vaginitis

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2
Q

All of these can be causes of what?

  1. pathogens
  2. allergic reactions to vaginal contraceptives or other products
  3. vaginal atrophy
  4. friction during coitus
A

Vaginitis

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3
Q

These are signs and symptoms of what?

  1. vaginal irritation or pruritis
  2. pain
  3. unusual or malodorous discharge
  4. bimanual exam may show:
    a. pelvic inflammation
    b. cervical motion tenderness
    c. adnexal tenderness
A

Vaginitis

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4
Q

These all predispose or contribute to the risk of what?

  1. pregnancy
  2. diabetes
  3. broad spectrum antibiotics
  4. corticosteroids
  5. heat
  6. moisture
  7. occlusive clothing
A

Vulvovaginal candidiasis

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5
Q

These are symptoms of what?

  1. pruritis
  2. vulvovaginal erythema
  3. white curd-like discharge that is NOT malodorous
A

Vulvovaginal Candidiasis

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6
Q

What is a sexually transmittied protozoal flagellate that infects the vagina, skene glands and lower urinary tract in women and infects the lower GU tract in men?

A

Trichomonas Vaginalis Vaginitis

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7
Q

These are symptoms of what?

  1. pruritius
  2. malodorous frothy, yellow-green discharge
  3. diffuse vaginal erythema
  4. strawberry cervix
    a. red macular lesions on the cervix in severe cases
A

Trichomonas Vaginalis Vaginitis

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8
Q

What is a polymicrobial disease that is NOT sexually transmitted, can be chronic in nature, and is an overgrowth of Gardenerella and other anaerobes?

A

Bacterial Vaginosis

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9
Q

What are the symptoms of Bacterial vaginosis?

A

Increased malodorous discharge without obvious vulvitis or vaginitis

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10
Q

Will the operational IDC have the labs available to test for the various causes of vaginitis?

A

Nope

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11
Q

What are some lab findings associated with vaginitis?

A
  1. KOH
    a. branched hyphae and budding yeast in candidiasis
    b. positive whiff test with BV (amine or fishy odor)
  2. wet prep
    a. motile flagella in T. vaginalis
    b. clue cells in BV
  3. NAAT urine testing for chlamydia and gonorrhea
  4. Vaginal pH
    a. frequently greater than 4.5 in T. vaginalis or BV
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12
Q

What is the treatment for vulvovaginal candidiasis?

A

Fluconazole (Diflucan) 150mg daily for 1 day

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13
Q

What is the treatment for Trichomonas Vaginalis Vaginitis

A

Treat both partners

Metronidazole (Flagyl) 2g PO x1 or 500mg BID x7 days

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14
Q

What is the treatment for Bacterial Vaginosis?

A

Metronidazole (Flagyl) 500mg BID x7 days

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15
Q

What is the treatment for chlamydia?

A

Doxycycline 100mg BID x7 days

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16
Q

What is the treatment for gonorrhea?

A

Ceftriaxone (Rocephin) 500mg IM x1 dose

CLASS 22010 GU (41 decks)

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