Female GU Disorders Exam Review
risk factors of bacterial vaginosis *** -change in sexual partners
-smoking
-IUD
-douching
etiology of bacterial vaginosis *** loss of Lactobacili and increase in Gardenella
vaginalis
complications of bacterial vaginosis *** -preterm labor and delivery
-premature rupture of membranes
-increased risk of PID and HIV
signs/symptoms of bacterial vaginosis *** -profuse, milky, frothy, white vaginal
discharge
-vaginal pH > 4.5
-fishy odor with KOH
-no erythema
-50% asymptomatic
diagnosis of bacterial vaginosis must have 3/4 of these: *** -profuse, milky, frothy, white
discharge
-fishy odor with KOH
-vaginal pH > 4.5
-clue cells on wet mount
Treatment for bacterial vaginosis including treatment for a pregnant woman *** -
metronidazole 500 mg PO
-clindamycin cream 2%
-metronidazole 75% gel 5g
-For pregnant women: metronidazole 250 mg PO
etiology of vulvovaginal candidiasis *** candida albicans is responsible for 90% of
cases
risk factors for vulvovaginal candidiasis *** -IUD
-antibiotics
-tight clothing
-pregnancy
-HIV
-uncontrolled diabetes
-douching
-young age at time of first intercourse
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
, signs/symptoms of vulvovaginal candidiasis *** -vaginal itching, burning, irritation
-dysuria
-odorless, white, thick curdy discharge (cottage cheese)
physical exam findings of vulvovaginal candidiasis *** -vulvovaginal erythema
-swelling
-satellite lesions
-excoriation
diagnosis of vulvovaginal candidiasis *** -microscopic examination of wet mount
-KOH shows budding yeast, pseudohyphae, mycelial tangles
-vaginal pH < 4.5
-negative whiff test
-fungal culture (maybe)
treatment for vulvovaginal candidiasis *** topical antifungals
-butoconazole 2% cream
-clotrimazole 1% cream
oral antifungals
-fluconazole PO
organism responsible for trichomoniasis *** Trichomonas vaginalis
risk factors of trichomoniasis *** -unprotected sex with multiple partners
-IUD
complications associated with trichomoniasis *** -premature delivery
-low birth weight
-HIV transmission
signs/symptoms of trichomoniasis *** -green/yellow frothy discharge
-musty odor
-dyspareunia
-elevated vaginal pH (5-6.5)
-dysuria
-punctate hemorrhages (strawberry cervix)
diagnosis of trichomoniasis *** -motile protozoa, mature epithelial cells, WBCs on
saline wet prep
-elevated vaginal pH (5-6.5)
-PCR and antigen testing
treatment for trichomoniasis including treatment for pregnant women *** -metronidazole
2g PO
-metronidazole 500 mg PO
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
risk factors of bacterial vaginosis *** -change in sexual partners
-smoking
-IUD
-douching
etiology of bacterial vaginosis *** loss of Lactobacili and increase in Gardenella
vaginalis
complications of bacterial vaginosis *** -preterm labor and delivery
-premature rupture of membranes
-increased risk of PID and HIV
signs/symptoms of bacterial vaginosis *** -profuse, milky, frothy, white vaginal
discharge
-vaginal pH > 4.5
-fishy odor with KOH
-no erythema
-50% asymptomatic
diagnosis of bacterial vaginosis must have 3/4 of these: *** -profuse, milky, frothy, white
discharge
-fishy odor with KOH
-vaginal pH > 4.5
-clue cells on wet mount
Treatment for bacterial vaginosis including treatment for a pregnant woman *** -
metronidazole 500 mg PO
-clindamycin cream 2%
-metronidazole 75% gel 5g
-For pregnant women: metronidazole 250 mg PO
etiology of vulvovaginal candidiasis *** candida albicans is responsible for 90% of
cases
risk factors for vulvovaginal candidiasis *** -IUD
-antibiotics
-tight clothing
-pregnancy
-HIV
-uncontrolled diabetes
-douching
-young age at time of first intercourse
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
, signs/symptoms of vulvovaginal candidiasis *** -vaginal itching, burning, irritation
-dysuria
-odorless, white, thick curdy discharge (cottage cheese)
physical exam findings of vulvovaginal candidiasis *** -vulvovaginal erythema
-swelling
-satellite lesions
-excoriation
diagnosis of vulvovaginal candidiasis *** -microscopic examination of wet mount
-KOH shows budding yeast, pseudohyphae, mycelial tangles
-vaginal pH < 4.5
-negative whiff test
-fungal culture (maybe)
treatment for vulvovaginal candidiasis *** topical antifungals
-butoconazole 2% cream
-clotrimazole 1% cream
oral antifungals
-fluconazole PO
organism responsible for trichomoniasis *** Trichomonas vaginalis
risk factors of trichomoniasis *** -unprotected sex with multiple partners
-IUD
complications associated with trichomoniasis *** -premature delivery
-low birth weight
-HIV transmission
signs/symptoms of trichomoniasis *** -green/yellow frothy discharge
-musty odor
-dyspareunia
-elevated vaginal pH (5-6.5)
-dysuria
-punctate hemorrhages (strawberry cervix)
diagnosis of trichomoniasis *** -motile protozoa, mature epithelial cells, WBCs on
saline wet prep
-elevated vaginal pH (5-6.5)
-PCR and antigen testing
treatment for trichomoniasis including treatment for pregnant women *** -metronidazole
2g PO
-metronidazole 500 mg PO
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
