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Y4R5 - Gynecology I 👩‍🍼 > L1: Vulvovaginitis > Flashcards

L1: Vulvovaginitis Flashcards

(51 cards)

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1
Q

Normal barriers protecting against genital infection

A
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2
Q

Normal barriers protecting against genital infection

  • Vulva
A
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3
Q

Normal barriers protecting against genital infection

  • Vagina
A
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4
Q

Normal barriers protecting against genital infection

  • Cervix
A
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5
Q

Normal barriers protecting against genital infection

  • Upper Genital Tract
A
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6
Q

Classifications of female genital tract infection

A
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7
Q

Classifications of female genital tract infection

  • Anatomical
A

Lower genital tract infection: infection below internal os (vulvitis, vaginitis & cervicitis).

Upper genital tract infection: Infection above internal os (PID).

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8
Q

Classifications of female genital tract infection

  • Etiological
A

- Sexually transmitted diseases (STDs).

- Blood born infections: mostly TB and rare now.

- Endogenous infections: caused by overgrowth of microbial agents that are normal Inhabitants (as candida albicans or bacterial vaginosis).

- Non-specific infections: caused by inappropriate infection prevention measures:

a. Puerperal or post-abortive.

b. After pelvic examination.

c. Traditional practice (female genital mutilation or vaginal tampons

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9
Q

Def of Vulvovaginitis

A
  • inflammation of vulva & vagina
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10
Q

Incidence of Vulvovaginitis

A

commonest outpatient gynecologic problem

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11
Q

Causes of Vulvitis

A
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12
Q

Causes of Vulvitis

  • 1ry
A
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13
Q

Causes of Vulvitis

  • 2ry
A
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14
Q

Causes of Vaginitis

A
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15
Q

Causes of Vaginitis

  • 1ry
A
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16
Q

Causes of Vaginitis

  • 2ry
A
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17
Q

Etiology of Vulvovaginitis of children

A
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18
Q

CP of Vulvovaginitis of children

A
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19
Q

CP of Vulvovaginitis of children

  • Symptoms
A
  • Pain, tenderness, offensive vaginal discharge & dysuria.
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20
Q

CP of Vulvovaginitis of children

  • Signs
A
  • Vulva looks swollen, red & covered with purulent vaginal discharge.
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21
Q

TTT of Vulvovaginitis of children

Study These Flashcards
A
  • Treatment of the cause.
  • Local cleanliness.
  • Small dose of estrogen (to help eradication of infection).
22
Q

Etiology of Atrophic (senile) vaginitis

Study These Flashcards
A
  • Lack of estrogen (as in postmenopausal women or in prepubertal age).
23
Q

CP of Atrophic (senile) vaginitis

Study These Flashcards
A

Vagina becomes smooth, dry, thin with itching and severe dyspareunia

24
Q

TTT of Atrophic (senile) vaginitis

Study These Flashcards
A
  • Local conjugated estrogen cream.
25
Def of **Bartholinitis**
inflammation of Bartholin glands
26
Etiology of **Bartholinitis**
- Gonorrhea or non-specific infection.
27
CP of **Bartholinitis**
- Gland becomes palpable as mass in the posterior 1/3 of labia majora, tender with abscess formation in some cases
28
TTT of **Bartholinitis**
antibiotics and drainage (if abscess forms) OR marsupialization with recurrent cases.
29
Another Name of **Candidiasis**
Moniliasis
30
Incidence of Candidiasis
it is the second most common cause of vaginitis.
31
Causative Organsims of **Candidiasis**
- candida albicans 90% of cases, c. tropicalis and c. glabrata 10% of cases
32
PPT Factors for **Candidiasis**
- Flourishes in acidic media - so common in diabetics, during pregnancy, with antibiotic use, with COCs, with antibiotics or steroids and immunosuppressive drugs.
33
Symptoms of **Candidiasis**
34
Signs of **Candidiasis**
35
INVx for **Candidiasis**
36
TTT of **Candidiasis**
37
Incidence of **Trichomoniasis**
the third most common cause for vaginitis
38
Causative Organsim of **Trichomoniasis**
39
PPT Factors for **Trichomoniasis**
Flourishes in weak acid medium pH 5.5-6.5
40
Sites of **Trichomoniasis**
It commonly affects vagina, urethra, Skene’s tubules, bladder and cervix.
41
MOT of **Trichomoniasis**
- sexual intercourse and contaminated towels and instruments
42
Symptoms of **Trichomoniasis**
43
Signs of **Trichomoniasis**
44
INVx for **Trichomoniasis**
45
TTT of ****Trichomoniasis****
46
Incidence of Bacterial vaginosis
is the most common cause of vaginitis
47
Causative Organism of **Bacterial vaginosis**
- alternation of normal flora; decrease lactobacilli and increase Gardnerella and anaerobes. - Sexually transmitted???
48
Symptoms of **Bacterial vaginosis**
- 50% may be asymptomatic - BUT there may be thin excessive greyish frothy malodorous discharge with pruritus
49
Signs of ****Bacterial vaginosis****
Characteristic discharge and vulvovaginitis
50
INVx in ****Bacterial vaginosis****
51
TTT of **Bacterial vaginosis**

Y4R5 - Gynecology I 👩‍🍼 (42 decks)

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