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Urogenital System > Common Vaginal and Pelvic Problems > Flashcards

Common Vaginal and Pelvic Problems Flashcards

1
Q

What are the 4 common pathologies of the Vulva

A
  • Vulvitis (candida)
  • Bartholin’s Cyst
  • Condyloma Accuminata
  • Herpes Simplex
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2
Q

What are four clinical features of Vulvitis

A
  • Satellite Rash
  • Microabscesses
  • White discharge
  • Pruritus
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3
Q

What is the organism that commonly causes Vulvitis and how is it treated

A

Candida
(Topical Antifungal)

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4
Q

What is the clinical manifestation of Bartholin’s Cyst

A

swelling of posterior 1/3rd of vulva

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5
Q

Is a non-tender Bartholin gland sweeling a cyst or an abscess?

A

Cyst

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6
Q

Is a tender Bartholin gland swelling a cyst or an abscess?

A

An Abscess

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7
Q

Which organisms commonly cause Bartholin’s abscess

A

E.coli
Gonorrhea (less commonly)

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8
Q

What is the treatment for Bartholin’s Cyst?

A

Incision and Drainage
Marsupialization
Word Catheter drain

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9
Q

What is the clinical presentation of Condyloma Acuminata

A

Raised lesions
pruritus (often associated)

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10
Q

What HPV serotypes commonly cause genital warts

A

HPV 6, 11 (low risk types)

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11
Q

What are the three treatment option for genital warts

A

Podophylin (cytotoxin)
Cauterization (burn them off)
ALDARA (imiquimod)

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12
Q

What is the clinical presentation of Herpes Simplex

A

Vessicles, Blisters followed by ulceration

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13
Q

True or False
Herpes Simplex is self-limiting and recurrent

A

True

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14
Q

What is the treatment for HSV (herpes Simplex Virus)

A

Antiviral (Acyclovir)

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15
Q

List four factors that increase vaginal discharge

A
  • pre mentruation
  • at Ovulation
  • use of OCPs
  • Use of IUDs
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16
Q

What are the components of a physiological vaginal discharge?

A

Cervical mucous
Bartholin gland secretion
Glycoprotein layer
Bacterial flora
Desquamated cells

17
Q

Normal Vaginal flora has was number of bacteria

A

10^8- 10^9 per gram of fluid

18
Q

Which bacteria makes up normal vaginal flora?

A

Lactobacilli

19
Q

Lactobacilli produce lactic acid maintaining the vaginal pH at what level

A

<4.5

20
Q

List 5 non-infective pathological causes of vaginal discharge

A

Ectropion (cervical cells extended to the outer cervix)
External devices: tampon, condom
Neoplasms
Polyps
Allergy/dermatitis

21
Q

List 7 details from the patient h/o that will assisted in diagnosing the cause of pathological discharge

A
  • Duration
  • irritation
  • odour
  • cyclical pattern
  • recurrence
  • sexual history
  • partners symptoms
22
Q

What is the commonenst cause of pathological discharge from the vagnina

A

Bacterial Vaginosis

23
Q

Describe the discharge seen in Bacterial Vaginosis

A

Homogenous grey
Fishy odour
No inflammation

24
Q

Describe the discharge seen in Vaginitis (Candida)/ Monilia/ Yeast

A

Adherent curdy white discharge

25
Q

What are 3 clinical features of vaginitis

A

dyspareunia
pruritus
external dysuria

26
Q

Describe the discharge seen in Trichomoniasis

A
  • Malodorous
  • frothy yellow-green
27
Q

What are the clinical features seen in Trichomoniasis

A

Strawberry cervix
frothy yellow green discharge

28
Q

How is trichomoniasis treated

A
  • Metronidazole
    2 g po OD
29
Q

What type of discharge is seen in cervicitis

A

Mucopurulent

30
Q

What is the cause of cervicitis

A

Chlamydia
Gonorrhea (less commonly)

31
Q

What is the recommended treatment for Bacterial Vaginosis?

A

Metronidazole 500mg bd x 7days

32
Q

What is the recommended treatment for Trichomoniasis?

A

Metronidazole 2g po od

33
Q

What is the recommended treatment regimen for Candidiasis?

A

Topical Azole drugs
Clomitrazole (3 or 7 day regimen)

Oral azole (1-5 days)
Fluconazole, Itraconazole

34
Q

What is the recommended treatment for Cervicitis (Chlamydia)

A

Doxycyclin 100mg bd x7 days

Azithromycin 1g po od

35
Q

What is the recommended treatment for Cervicitis (Gonorrhea)

A

Ceftriaxone 125mg IM single dose

36
Q

List the 5 types of Uterine fibroids

A
  • Pedunculated
  • Intracavitary
  • Intramural
  • Submucous
  • Subserous
37
Q
A

Urogenital System (17 decks)

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