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WH 2 > Vulvovaginitis > Flashcards

Vulvovaginitis Flashcards

1
Q

3 causes of vulvovaginitis

A

yeast
BV
trichomonas

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2
Q

yeast sx

A

intense pruritus
clumping white discharge
pH 4.5

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3
Q

tx of yeast vulvovaginitis

A

po fluconazole or topical azoles
if complicated then longer tx or intravaginal boric acid

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4
Q

BV symptoms

A

fishy thin milky discharge
ph >4.5

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5
Q

tx of BV vulvovaginitis

A

po or topical metronidazole

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6
Q

trichomonas sx

A

intense pruritis
copious, frothy yellow-green discharge

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7
Q

labs for yeast

A

wet mount/KOH w/ budding hyphae

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8
Q

labs for BV

A

clue cells on wet saline
amine/fish odor on wet mount/KOH (pos. whiff test)

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9
Q

trich labs

A

wet mount w/ motile flagellates (protozoa)
+ whiff test
NAAT

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10
Q

other sx of trich

A

dysuria
urinary frequency
low abdominal pain
dyspareunia

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11
Q

tx for trich

A

PO metronidazole for 7 days
tx partners too

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12
Q

RF for yeast infection

A

DM
abx
immunosuppression
high estrogen

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13
Q

other sx of yeast

A

vulvar burning
dyspareunia
dysuria

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14
Q

two non-infectious causes of vulvovaginitis

A

atrophic vaginitis in post menopause
retained FB

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15
Q

5 chronic vulvovaginitis

A

atrophic vaginitis
lichen simplex chronicus (LSC)
lichen sclerosis
lichen planus
vulvar psoriasis

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16
Q

what is atrophic vaginitis

A

itching and irritation d/t estrogen deficiency (post menopause)

17
Q

how is atrophic vaginitis tx ?

A

topical or po estrogen

18
Q

what is lichen simplex chronicus

A

the big itch
itense itching r/t sensitive skin and external irritants

19
Q

how is LSC tx?

A

ST topical steroid
avoid irritant

20
Q

what is lichen sclerosis?

A

white, thin, atrophic tissue in “hour-glass” distribution

21
Q

why is it important to recognize lichen sclerosis?

A

progressive condition & malignant potential

22
Q

how is lichen sclerosis treated?

A

topical steroids, TCAs

23
Q

what is lichen planus

A

red, erosive lesions, more distortion and scarring
half the ppl w/ it also have oral lesions

24
Q

what is vulvar psoriasis?

A

thickened, lichenified tissue, white to silvery plaques
h/o psoriasis

25
Q

which two conditions have elevated PH

A

BV and trich

26
Q

you need 3 of 4 of these to diagnose BV

A

Homogeneous vaginal discharge
Positive whiff test
Clue cells > 20%
pH > 4.5

27
Q

what is the most common non-viral STI in the world?

A

trich

28
Q

which condition would have “strawberry cervix”?

A

trich

WH 2 (8 decks)

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