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cystitis
bladder inflammation
cystocele
out-pouching of the bladder into the vagina
diagnosis of trichomonas vaginitis
saline: motile trichomonads
KOH: negative
whiff: maybe
pH: >4.5
diagnosis of bacterial vaginosis (Amsel's criteria)
saline: one clue cells in each of 10 fields or 1/5 are clue cells
KOH: negative
whiff: positive
pH: >4.5
diagnosis of yeast vaginitis
saline: budding yeast and/or pseudohyphae
KOH: budding yeast and/or pseudohyphae mor clearly
whiff: negative
pH: <4.5
, Do BV and trich cause sterility?
no b/c neither cause PID (it may effect existing PID caused by gonorrhea and
chlamydia, however due to inflammation and irritation of the mucosa can increase risk
for HIV
Where does trichomoniasis live?
vagina, bladder and mucosal glands (not the uterus)
vaginitis
inflammation of the vagina
vulvitis
inflammation of the vulva
bacterial vaginosis (BV)
s/sx: whitish, grey d/c, fishy odor, vulvovaginal itching (inside or outside); rhymes with
halitosis; overgrowth of anaerobes; you must have lab values to treat, frequently
reoccurs
Candida vaginitis (yeast vaginitis)
overgrowth of yeast
Vaginal trichomonaisis
invasion of Trichomonads
chlamydia
lives in the cervix, asymptomatic in most cases but can be vague discomfort and post-
coital spotting, dysuria and pyuria (pus in the urine), can lead to PID and tube
scarring/infertility; dx: on exam-mucopurulent endocervical discharge and spontaneous
or easily-induced endocervical bleeding, NAATS; REPORTABLE; screening: annual for