Vaginitis and Vaginosis

Question 1

In a normla vaginal vagination, what type of bacteria predominante within the Vagina?

Answer 1

Lactobacilli

Question 2

What is the normal pH of the vagina

Answer 2

4.5

Question 3

Cause of Candidiasis?

Answer 3

Candida albicans is most common.

- Other causes of candidiasis would be Candidiasis Glabrata (fungus)

Question 4

Symptoms of a candidasis infection

Answer 4

Abnormal vaginal discharge, external dysuria, vulvar itching, pain/ irritation

Question 5

Cause of Trichomonal Vaginitis?

Answer 5

Trichomonas vaginalis

Question 6

Symptoms of trichomanas vaginalis?

Answer 6

YELLOW DISCHARGE, external dysuria, vulvar itching

Question 7

Cause of Bacterial vaginosis

Answer 7

Loss of normal vaginal lactobacilli

Question 8

What could be causative organisms of BV?

Answer 8

Gardeneralla vaginalis, Mobiluncus, other anaerobes

Question 9

Symptoms of BV?

Answer 9

Increased, abnormal, or malodorous discharge

Question 10

Describe the discharge in Candidiasis

Answer 10

Scant amount
White in color
Clumped

Question 11

Describe the discharge in Trichomonal vaginitis

Answer 11

Profuse, yellow

Question 12

Discharge in BV

Answer 12

Moderate amount
White or grey in color
Adherent

Question 13

Which of the three conditions does not include inflammation of the vulva?

Answer 13

BV

Question 14

pH in candidiasis?

Answer 14

normal

Question 15

pH in BV?

Answer 15

Over 4.5

Question 16

pH in Trichomonal vaginitis?

Answer 16

over 4.5

Question 17

Trichomonas vaginalis is what kind of microorganism?

Answer 17

protozoan

Question 18

Candida glabrata is different that candida albicans how?

Answer 18

it is a fungi, not a bacteria

Question 19

BV and candidiasis may be sexually transmitted but generally are not

Answer 19

They are generally just supra-infections of the normal flora.

Question 20

T. vaginalis is…

Answer 20

sexually transmitted always

Question 21

Bacterial Vaginosis Dx

Answer 21

• Odor will be terrible, especially after the addition of KOH
• Discharge will look like dishwater (dirty white or gray)
• pH above normal
• Clue Cells- vaginal epithelial cells with adherent bacteria in wet mounts
• Dysuria and vaginal discomfort usually absent.
• Little or no signs of inflammation

So basically, its not really painful or aggravating but it smells like hell and you’’’ have dishwater type discharge that coats vaginal wall

Question 22

Candidiasis Dx

Answer 22

The Itchy One…

• Vaginal itching may be extreme
• Discharge may resemble cottage cheese
• pH is normal
• yeasts and branching hyphae seen on KOH mount
• May have dysuria

Question 23

Trichomonas

Answer 23

Lots of YELLOW

• Yellow discharge
• copious discharge
• May smell bad
• pH high
• May have dysuria