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VULVOVAGINITE Flashcards

1
Q

AGENTE INFECCIOSO DA VAGINOSE BACTERIANA

A

Gardnerella vaginalis (polimicrobiana)

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2
Q

CRITÉRIOS DE AMSEL PARA VAGINOSE BACTERIANA

(4 CRITÉRIOS)

A

1) CORRIMENTO ACINENTADO
2) PH VAGINAL >4,5
3) TESTE DAS AMINAS POSITIVO
4) CLUE CELLS

(NECESSÁRIO 3 POSITIVOS)

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3
Q

TRATAMENTO VAGINOSE BACTERIANA

A

METRONIDAZOL 250MG - 2 COMPRIMIDOS VO 12/12 H POR 7 DIAS

OU METRONIDAZOL GEL VAGINAL 100MG/G POR 5 DIAS

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4
Q

CLÍNICA CANDIDIASE VULVOVAGINAL

A

CORRIMENTO BRANCO, GRUMOSO PRURIGINOSO
PH <4,5
HIFAS E PSEUDO HIFAS

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5
Q

TRATAMENTO CANDIDIASE

A

CREME - MICONAZOL 2% 7 DIAS / NISTATINA 14 DIAS

OU 2ª OPÇÃO FLUCONAZOL 150MG DOSE ÚNICA

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6
Q

TERAPIA PARA CANDIDIASE RECORRENTE (MAIS DE 4 CASOS NO ANO)

A

FLUCONAZOL 150MG VO EM D1, D4 E D7
DEPOIS 1 COMPRIMIDO SEMANAL POR 6 MESES

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7
Q

CLÍNICA TRICOMONIASE

A

CORRIMENTO AMARELO-ESVERDEADO BOLHOSO
PH >5
COLO EM FRAMBOESA (!!!!!)
PROTOZOÁRIO MÓVEL

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8
Q

TRATAMENTO TRICOMONIASE

A

METRONIDAZOL 400MG - 5 COMPRIMIDOS DOSE ÚNICA

OU METRONIDAZOL 250MG 2 COMP VO 12/12H POR 7 DIAS

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9
Q

DIAGNÓSTICO DIFERENCIAL NAS VAGINOSES

A

VAGINITE DESCAMATIVA
VAGINITE ATRÓFICA
VAGINOSE CITOLÍTICA

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10
Q

A CLÍNICA DA VAGINITE DESCAMATIVA É SIMILAR A DE TRICOMONAS (CORRIMENTO PURULENTO, PH ALCALINO)

COMO DIFERENCIAR

A

PRESENÇA DE FLORA VAGINAL TIPO 3 - COCOS GRAM +

NÃO HÁ TRICOMONAS

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11
Q

TRATAMENTO VAGINITE DESCAMATIVA

A

CLINDAMICINA CREME 2% A 5% POR 7 DIAS

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12
Q

A VAGINOSE CITOLITICA É MUITO SIMILAR A CANDIDIASE (LECORREIA, PRURIDO, PH ÁCIDO)
COMO DIFERENCIAR

A

PRESENÇA DE CITÓLISE E LACTOBACILOS NO EXAME A FRESCO - SEM PATÓGENOS / HIFAS

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13
Q

TRATAMENTO VAGINOSE CITOLICA

A

ALCALINIZAR COM BICARBONATO

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14
Q

EXAME A FRESCO NA VAGINITE ATRÓFICA

A

SEM PATÓGENOS, CELULAS BASAIS E PARABASAIS

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15
Q

TRATAMENTO VAGINITE ATRÓFICA

A

ESTROGENIOTERAPIA TÓPICA

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16
Q
A

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