4.2.1 Infection of the Female Genital Tract Flashcards
(29 cards)
What bacteria is responsible for lowering the pH in the female genital tract?
Lactobacilli (digest glycogen)
What’s the best test to identify trichomoniasis?
PCR
Red? Blue?
Red: clue cell
Blue: trichomonas
What are the symptoms of BV?
Vaginal discharge
Odor
Many are asymptomatic
What is this purple sheit?
Tiny gram-negative bacteria clinging to an epithelial cell (clue cell)
What is a positive ‘whiff’ test suggestive of?
Bacterial vaginitis
What’s this chick got, doc?
BV
Who should be screened for HIV?
Routine 16-34 years
ALL preggo women
High risk people
What is typically absent in bacterial vaginitis? What is the predominant bacteria?
Lactobacilli; gram-negative gut bacteria
What’s the best treatment for candiasis?
Oral anti-fungal
OTC creams are often used doe
What is unique to candiasis?
Psuedo-hyphae; vaginal pH norm
What is circumscribed in red?
Trichomonas
What’s that?
“Strawberry” Cervix in Trichomoniasis
Miles’ favorite flavor of milkshake
What are some clinical clues that indicate BV?
Presence of clue cells, pH greater than 4.5, absence of lactobacilli, odor
What deez be on saline prep? What are the red arrows pointing at?
Clue cells
What this be?
Tubal scarring from PID
What is the most feared consquence of long-standing PID?
Infertility
Descibe the appearance of the cervix in trichomoniasis?
“Stawberry” cervix - 25% of cases
What some common bacteria of the female genital tract?
Name this bacterium
Lactobacilli
Best treatment for trichomoniasis?
Metronidazole
What is the effective treatment for HIV?
HAART
Antiretroviral treatment
What are some of the causes of vaginitis in women?
Bacterial vaginitis
Vulvovaginal candidiasis
Trichomoniasis
Vaginal atrophy
Allergies
Chemical irritation
What caused the drop HIV deaths?
Anti-retrovirals
