Term
pt comes to GYN clinic for check up and you notice milky grayish pooled fluid in the vaginal wall. it stings fishy.
he Vag pH is 5.0.
what would you order to dx and what would you find?
how would you tx it? |
|
Definition
dx BV--test wet mount prep -clue cells. epithelial cells with numerous bacilli clinging to their surface. few wbc
tx: metronidazole 500mg
or
metronidazole gel 0.75% or clindamycin cream 2%
-- one full applicator intravaginally |
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|
Term
| when should you tx BV in pregnancy? what could happen? |
|
Definition
first trimester but not in 3rd.
risk of PROM (premature rupture of membrane), PID, and endometritis |
|
|
Term
| what infection is second most common |
|
Definition
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|
Term
pt comes with vag discharge "cottage cheese "
what could it be? |
|
Definition
|
|
Term
| what disease pt would have freq candida infection |
|
Definition
|
|
Term
| what is the oral agent to tx candida and give one intra vaginal drug |
|
Definition
Fluconazole 150mg single dose one tab only
butoconazole 2% or miconazole 2% both OTC cream 5mg intravag for 7 days |
|
|
Term
| what is required to dx candida? |
|
Definition
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Term
| female present with bubbles in her discharge. what do you suspect? how is this disease transmitted? |
|
Definition
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|
Term
|
Definition
metronidazole
or
tinidazole |
|
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Term
| one thing you must tell pt not to do while on metronidazole. and .... |
|
Definition
| avoid alcohol and use condom during tx |
|
|
Term
why does atrophic vaginitis happen?
and discribe the mucosa ? |
|
Definition
lack of estrogen.
pale , loss of rugae/ folds. |
|
|
Term
| what kind of cells seen in atrophic vaginitis |
|
Definition
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|
Term
| female comes in with adnexal and cervical motion tenderness with temp of 38..what is it? |
|
Definition
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|
Term
gram- intracellular diplococci.--causes what outside the vagina?
some drugs to tx it.. |
|
Definition
gonorrhea. PID
Cefotetan 2mg IV
or
ceftriaxone 2mg IM single dose
or doxy 100mg |
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