Vaginitis and Vaginosis Flashcards Preview

Reproductive > Vaginitis and Vaginosis > Flashcards

Flashcards in Vaginitis and Vaginosis Deck (23):
1

In a normla vaginal vagination, what type of bacteria predominante within the Vagina?

Lactobacilli

2

What is the normal pH of the vagina

4.5

3

Cause of Candidiasis?

Candida albicans is most common.
- Other causes of candidiasis would be Candidiasis Glabrata (fungus)

4

Symptoms of a candidasis infection

Abnormal vaginal discharge, external dysuria, vulvar itching, pain/ irritation

5

Cause of Trichomonal Vaginitis?

Trichomonas vaginalis

6

Symptoms of trichomanas vaginalis?

YELLOW DISCHARGE, external dysuria, vulvar itching

7

Cause of Bacterial vaginosis

Loss of normal vaginal lactobacilli

8

What could be causative organisms of BV?

Gardeneralla vaginalis, Mobiluncus, other anaerobes

9

Symptoms of BV?

Increased, abnormal, or malodorous discharge

10

Describe the discharge in Candidiasis

Scant amount
White in color
Clumped

11

Describe the discharge in Trichomonal vaginitis

Profuse, yellow

12

Discharge in BV

Moderate amount
White or grey in color
Adherent

13

Which of the three conditions does not include inflammation of the vulva?

BV

14

pH in candidiasis?

normal

15

pH in BV?

Over 4.5

16

pH in Trichomonal vaginitis?

over 4.5

17

Trichomonas vaginalis is what kind of microorganism?

protozoan

18

Candida glabrata is different that candida albicans how?

it is a fungi, not a bacteria

19

BV and candidiasis may be sexually transmitted but generally are not

They are generally just supra-infections of the normal flora.

20

T. vaginalis is...

sexually transmitted always

21

Bacterial Vaginosis Dx

- Odor will be terrible, especially after the addition of KOH
- Discharge will look like dishwater (dirty white or gray)
- pH above normal
- Clue Cells- vaginal epithelial cells with adherent bacteria in wet mounts
- Dysuria and vaginal discomfort usually absent.
- Little or no signs of inflammation

So basically, its not really painful or aggravating but it smells like hell and you''' have dishwater type discharge that coats vaginal wall

22

Candidiasis Dx

The Itchy One...
- Vaginal itching may be extreme
- Discharge may resemble cottage cheese
- pH is normal
- yeasts and branching hyphae seen on KOH mount
- May have dysuria

23

Trichomonas

Lots of YELLOW

- Yellow discharge
- copious discharge
- May smell bad
- pH high
- May have dysuria