Vulvovaginites / Cervicites Flashcards

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1
Q

Agentes causadores de cervicite

A

Neisseria e clamydia

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2
Q

Das vaginoses, qual é DST?

A

Tricomoníase

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3
Q

Dados do fluxo vaginal fisiologico?

A

Transparente
Homogeneo
Ph < 4.5

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4
Q

Fatores de risco pra vaginose bacteriana?

A

Ejaculação intravaginal frequente
Sexo oral
Duchas vaginais

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5
Q

Corrimento, laboratório e criterios para vaginose

Epoca de sintomas

A
Época : pós menstrual
Criterios (3 de 4)
Ph > 4.5
clue cells
Teste de wiff positivo
Corrimento acizentado homogeneo, fetido

Não tem: bolhas, prurido.

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6
Q

Tratamento da vaginose?

E na gravida?

A

Metronidazol 500mg VO
12 12 hrs
7 dias

Gestante 1° trimestre = clindamicina

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7
Q

Corrimento, laboratório e criterios para candidiase

Epoca de sintomas

A

Ph normal < 4.5
Corrimento branco grumoso
Não fétido
Prurido local

Wiff negativo

Epoca pré menstrual( aumento estrogenio> acidez)

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8
Q

FR para candidiase

A

ATB
HIV
Corticoide
Imunossupressores

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9
Q

Conduta em caso de candidiase recorrente.

A

Avaliar cultura para C. não albicans.

Se albicans, fluconazol VO 6 meses

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10
Q

Tratamento da candidiase?

A

Miconazol creme por 7 dias

Gestantes = Nistatina

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11
Q

Diagnóstico de tricomoniase?

A
Corrimento esverdeado, colpite em framboesa
Prurido
Bolhoso e fétido
Teste de wiff positivo
Ph>4.5

Exame a fresco com protozoarios

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12
Q

Dx diferencial de candidiase?

A

Vaginose citolítica

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13
Q

Tratamento da tricomoniase?

A

Metro 2g VO dose unica

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14
Q

Clínica da cervicite?

A

Secreção mucopurulenta saindo do colo do utero
Colo friavel
Prurido, disuria, urgencia

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15
Q

Dx etiologico na cervicite

A

Ouro pra gonococo= cultura no meio de Thayer

Clamydia= PCR

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16
Q

Tratamento das cervicites?

A

Ceftriaxone 500mg Im dose única
Azitro 1g Vo

Gestante = igual