Vaginitis Flashcards Preview

Reproductive system (inpt) > Vaginitis > Flashcards

Flashcards in Vaginitis Deck (22)
Loading flashcards...
1

vaginitis

inflammation of the vagina, often caused by infxn

2

sx of vaginitis

discharge, itching, odor, dyspareunia, dysuria, urinary frequency

3

what are the 3 tx most associated w/ discharge?

bacterial vaginosis, trichomoniasis (STD), vulvovaginal candidiasis

4

signs and sx of BV

thin, grey, white mucus,

-fishy odor, esp after sex or menses

-pH >4.5

5

dx of BV

+ whiff test (gross)

clue cells, no WBC

6

what causes the stinkiness of BV?

anaerobes

7

tx of BV

metronidazole

2) clindamycin

3)tinidazole

8

trichomoniasis s/sx

severe pruritis
-discharge, often malodorous
-dysruia
-dyspareunia (painful sex)
-greenish-yellow, frothy dischage
-

9

hallmark signs of tric.?

-petechiea or "strawberry markings" on the cervix

-motile flagellated protozoans on wet prep (*warming slide makes them easier to see)

10

tx of Tric

1) metronidazole 2 gm po
2) tinidazole

**treat partners and go back and look for other STis

11

ADR of metronidazole

NVD, metallic taste, dark red-brown urine

serious: sz, neruopathies, leukopenia, SJS, TEN

12

vulvovag. candidiasis (VVC)

NOT an STD

13

VVC s/sx

-pruritis, burning
-cottage cheese discharge
-dyspareunia
-erythema
-curdy, white discharge
-not malodorous (**normal PH)

14

what will you see on a wet prep of VVC?

spores, hypahea, KOH, culture
*pseudohyphea or budding yeast

15

what can lead to VVC?

• Hormonal changes
(Pregnancy, OCPs, menopause)
• Oral corticosteroid treatment
• Oral antibiotics
• Nylon underwear, exercise clothing, tight pantyhose, tight jeans, hot weather
• Obesity

16

if recurrent or multiple VVC? think ?

• Hyperglycemia, diabetes
• Immunocompromised state (HIV)

17

what are some OTC tx?

imidazoles (but increasing reisistance is seen)

oral fluconazole

18

rx VVC tx?

-butoconazole
-nystatin
-terconazole
-clotrimazole
-terconazole,
-miconazole

19

Atrophic vaginitis?

not an ifxn, but need to rule it out
-atrophic mucosa is vulnerable to infxn

20

who may get this atrophic vaginitis?

amenorrheic women (bc decreased estrogen)
-alos, postmenopasal, lactating, extreme exercise
-progesterone tx w/o estrogen

21

s/sx of AV?


-Pruritus, burning
-Vaginal dryness
-Dyspareunia
-Possibly spotting
-Not associated with odor unless concomitant infection
-Pale, thin vaginal mucosa
-Absence of discharge
-Loss of vaginal rugation (no wrinkles)
-Wet prep negative

22

how to tx AV?

estrogen replacement, systemic or topical