VVC/BV/TV Flashcards
1
Q
Most common cause of vaginal discharge
A
BV
2
Q
Symptoms of BV
A
- Fishy white PV loss
- No itching
- 50% women asymptomatic
3
Q
Complications of BV if preg
A
- Late miscarriage
- PTB
- PPROM
- PN endometritis
4
Q
Diagnosis of BV- Amsels criteria
A
- Amsels criteria 3/4
- Thin white discharge
- Clue cells
- pH of vaginal loss >4.5
- Fishy odour w alkali
5
Q
Other tests
A
- Hay/Ison criteria
- Nugent score
6
Q
Mx of BV
A
- Avoid douching, use of soaps
- Metronidazole 400mg BD 5-7D/ Met 2g stat
or Met gel/clindamycin cream
or Clindamycin 300mg BD 7D
7
Q
F/u for BV
A
- Not req, no test for cure needed
- No contact tracing
8
Q
Symptoms of VVC
A
- Vulval itching
- Non-offensive vaginal discharge
- Redness/fissuring
- Satellite lesion/excoritations
9
Q
Recurrent VVC
A
4 episodes in 12m
At least 2 confirmed on swab
10
Q
RF for recurrent VVC
A
- Persistence of candida
- Poorly cont diabetes
- Immunosupression
- Oestrogen (HRT, preg etc)
- Antibiotic use
11
Q
Diagnosis of VVC
A
- Examine
- Swab
- Microscopy
- Direct plating or culture if recurrent VVC
12
Q
Mx of VVC
A
- Avoid irritants- soaps, wipes
- Emolient
- Loose clothing
- Fluconazole 150mg PO stat
- Clotrimazole pessary 500mg stat
- Clotrimazole cream
If severe-
Treat on day 1 and day 4.
13
Q
Recurrent VVC mx
A
- Fluconazole 150mg PO every 72h x 3 doses
then
Fluconazole 150mg PO once a week for 6/12
14
Q
Vaginal treatments advise
A
- Creams eg clotrimazole or clindamycin used PV can weaken condoms- advise additional contraception
15
Q
TV cause
A
- Trichomonas vaginalis - protozoon
- STI - contact tracing is needed
