vulvar/vaginal disease Flashcards Preview

Ob Gyn > vulvar/vaginal disease > Flashcards

Flashcards in vulvar/vaginal disease Deck (59)
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1

musty, fishy odor with incr thin gray-white to yellow discharge; mild vulvar irritation, pH >4.5

BV

2

incr in WBC, loss of normal lactobacilli, clue cells " ground glass"

BV

3

gold standard for BV

gram stain

4

clinical dx of BV made with 3/4 of what criteria

1. abnormal gray discharge
2. pH >4.5
3. + whiff test
4. + clue cells

5

BV tx (2)

1. oral or topical metronidazole
2. topical clindamycin

6

itching, burning, external dysuria, dyspareunia, thick odorless cottage cheese, pH 4-5

candida

7

dx of candida

visualization of blastospores or pseudohyphae on saline or KOH microscopy

8

tx of candida

vaginal application of imidazole, miconazole, clotrimazole, terconazole

9

what sort of azole to use in pregnancy for tx of candida infxn

oral fluconazole

10

if recurrence of candida within 1 month of tx

oral fluconazole x 6 mon

11

tx of T glabrata

intravaginal boric acid capsules or gentian violet

12

where does trich live?

vagina, skene ducts, urethra

13

transmission of trich

sexual, pools, hot tubes

14

trich pH

>4.5

15

appearance of vulva with trich

edema or erythema

16

strawberry cervix

trich

17

dx of trich

1. microscopic exam
2. nucleic acid probe test

18

trich tx

oral metronidazole or tinidazole

19

tx of trich in pregnancy

oral metronidazole or tinidazole

20

atrophy of vaginal epithelium due to decr estrogen levels

atrophic vaginitis

21

expected pH in atrophic vaginitis

>4.7

22

decr vaginal discharge, dryness, ithcing, burning, dyspareunia, urinary urgency, recurrent UTI

atrophic vaginitis

23

tx of atrophic vaginitis (2)

1. local water-based moisterizers
2. topical or oral estrogen tx

24

pruritis that can interfere with sleep, pruritis ani, inflammatory process

lichen sclerosis

25

tx of lichen sclerosis

1. improve general care
2. superpotent steroid ointment (clobetasol)

26

an itch that rashes

lichen simplex chronicus

27

develops secondary to an irritant dermatitis

lichen simplex chronicus

28

labia majora/minora and perineal body can be diffusely reddened with occ hyperplastic plaques of red-brown

lichen simplex chronicus

29

tx of lichen simplex chronicus

1. d/c irritant
2. antipruritic: diphenhydramine or hydroxyzine + mod strength steroid cream
3. antidepressant

30

presents as a desquamative lesion of the vagina on the inner labia minora and vuvlar vestibule

lichen planus