6/24 Flashcards
(10 cards)
Differential diagnosis of vaginitis
Bacterial vaginosis
Trichomoniasis (Trichomonas vagina/is)
Candida vaginitis ( Candida albicans)
Thin, off-white discharge with fishy odor
Bacterial vaginosis
(Gardnerel/a vagina/is)
Clue cells
Bacterial vaginosis
(Gardnerela vaginalis)
Positive whiff test
(amine odor with KOH)
Bacterial vaginalis
Tx of Bacterial vaginosis (Gardnerel/a vagina/is)
Metronidazole or clindamycin
Thin, yellow-green, malodorous, frothy discharge
Trichomoniasis
(Trichomonas vagina/is)
Tx of Trichomoniasis
(Trichomonas vagina/is)
Metronidazole; treat sexual partner
Thick, “cottage cheese” discharge
Candida vaginitis
( Candida albicans)
Tx of Candida vaginitis ( Candida albicans)
Fluconazole
Normal pH (3.8-4.5)
Candida vaginitis
( Candida albicans)