Flashcards in Vaginitis Deck (22)
inflammation of the vagina, often caused by infxn
sx of vaginitis
discharge, itching, odor, dyspareunia, dysuria, urinary frequency
what are the 3 tx most associated w/ discharge?
bacterial vaginosis, trichomoniasis (STD), vulvovaginal candidiasis
signs and sx of BV
thin, grey, white mucus,
-fishy odor, esp after sex or menses
dx of BV
+ whiff test (gross)
clue cells, no WBC
what causes the stinkiness of BV?
tx of BV
-discharge, often malodorous
-dyspareunia (painful sex)
-greenish-yellow, frothy dischage
hallmark signs of tric.?
-petechiea or "strawberry markings" on the cervix
-motile flagellated protozoans on wet prep (*warming slide makes them easier to see)
tx of Tric
1) metronidazole 2 gm po
**treat partners and go back and look for other STis
ADR of metronidazole
NVD, metallic taste, dark red-brown urine
serious: sz, neruopathies, leukopenia, SJS, TEN
vulvovag. candidiasis (VVC)
NOT an STD
-cottage cheese discharge
-curdy, white discharge
-not malodorous (**normal PH)
what will you see on a wet prep of VVC?
spores, hypahea, KOH, culture
*pseudohyphea or budding yeast
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
if recurrent or multiple VVC? think ?
• Hyperglycemia, diabetes
• Immunocompromised state (HIV)
what are some OTC tx?
imidazoles (but increasing reisistance is seen)
rx VVC tx?
not an ifxn, but need to rule it out
-atrophic mucosa is vulnerable to infxn
who may get this atrophic vaginitis?
amenorrheic women (bc decreased estrogen)
-alos, postmenopasal, lactating, extreme exercise
-progesterone tx w/o estrogen
s/sx of AV?
-Not associated with odor unless concomitant infection
-Pale, thin vaginal mucosa
-Absence of discharge
-Loss of vaginal rugation (no wrinkles)
-Wet prep negative