vulvovaginitis

Question 1

what is the dominant bacteria in our coochie and what does she do

Answer 1

Lactobacillus: maintains acidic pH by making lactic acid (and hydrogen peroxide) - toxic to anaerobic bacteria

Question 2

estrogens role?

Answer 2

Stimulates proliferation and maturation of epithelium - provides a physical barrier (and produces glycogen for lactobacilli to eat and make acid)

Question 3

vaginitis

Answer 3

any inflammation of vagina result in itching, discharge, or pain

Question 4

how do you do a wet mount?

Answer 4

obtain species from speculum exam

place specimen on slide and apply 1 drop of saline

place a cover slip over specimen on slide

prepare a second slide & instead of saline add KOH

review under microscope

Question 5

normal vaginal discharge

Answer 5

wet mount: epithelial cells

color: white
viscosity: high
consistency: floccular

Question 6

bacterial vaginosis

Answer 6

odor!!!!
wet mount: clue cells
color: gray
viscosity: low
consistency: homogenous
presence in vag: adherent to walls

Question 7

trichomoniasis

Answer 7

increased discharge
wet mount: trichomonads
color: yellow-gray
viscosity: low
consistency: homogenous
adherent to vag wall

Question 8

Candidiasis

Answer 8

itchy & burning
hyphae/spores
white
high viscosity
floccular consistency
adherent to vag walls

Question 9

i have candida, how do you treat me?

Answer 9

Miconazole 2% cream or 100-200mg suppository

Fluconoazole 150mg PO

Question 10

I have BV, treat me

Answer 10

.75% metronidazole topical intravaginal/week

Metronidazole 500mg PO/week

2% clindamycin cream intravaginal/week

Question 11

i have trichomoniasis, treat me

Answer 11

Metronidazole 2 G PO 1 dose (more effective)

Metronidazole 500mg PO/week

Question 12

strawberry cervix

Answer 12

trichomoniasis