NSG 6020 WEEK 7 STUDY GUIDE
NSG 6020 NSG 6020 WEEK 7 STUDY GUIDEWEEK 7 STUDY GUIDE
NSG 6020 WNSG 6020 WEEK 7 STUDY GUIDE
NSG 6020 WEEK 7 STUDY GUIDENS
EEK 7 STUDY GUIDE
NSG NSS6020 WEEK 7 STUDY GUIDE
1. Bartholin’s gland infection
Large, red, tense swelling seen to left introitus & on palpation of the mass causes pain.
Usually caused by trauma, gonocci, anaerobes like bacterioides & peptostreptococci & C.
trachomatitis. Acutely the gland appears as a tense, hot, very tender abscess. Look for pus
emerging from the duct or erythema around the duct opening.
2. Candida Vaginitis
Visualization of the vulva shows a thick, white, & curdy, may be thin but typically thick, not as
profuse as in trichomonal infection, not malodorous. Discharge, pH 4.1 & the KOH whiff test is
negative with no unusual smell. Wet prep shows budding hyphae.
Candida albicans, a yeast (normal overgrowth of vaginal flora) many factors predispose,
including antibiotic therapy.
Pruritus; vaginal soreness; pain on urination from skin inflammation; dyspareunia. The vulva
& even the surrounding skin are often inflamed & sometimes swollen to a variable extent. The
vaginal mucosa is often reddened, with white tenacious patches of discharge; the mucosa may
bleed when the patches are scraped off. In mild cases the mucosa looks normal. Scan
potassium hydroxide (KOH) preparation for the blanching hyphae of candida.
3. Bacterial Vaginitis
Caused by bacterial overgrowth from anaerobic bacteria; often transmitted sexually. There may
be a gray or white, thin, homogenous, malodorous; coats the vaginal walls; usually profuse,
may be minimal. Unpleasant fishy or musty genital odor; reported to occur after intercourse.
The vulva & vaginal mucosa usually appear normal. Scan saline wet mount for CLUE
CELLS (epithelial cells with stippled borders) sniff for fishy odor after applying KOH (whiff
test) test the vaginal secretions for PH > 4.5
4. Trichomonal Vaginitis
A protozoa; often but nor always acquired sexually. Yellowish, green, gray, possibly frothy.
Often profuse & pooled in vaginal fornix; may be malodorous. Pruritis (not as severe as w/
candida); painful urination from skin inflammation or urethritis or dyspareunia.
Vestibule & labia minora may be erythematous; the vaginal mucosa may be diffusely reddened
with small granular spots of petechiae in the posterior fornix. Mild cases the mucosa may look
normal. Scan wet mount for trichmonads.
5. Bleeding between periods is known as metrorrhagia.
NSG 6020 NSG 6020 WEEK 7 STUDY GUIDEWEEK 7 STUDY GUIDE
NSG 6020 WNSG 6020 WEEK 7 STUDY GUIDE
NSG 6020 WEEK 7 STUDY GUIDENS
EEK 7 STUDY GUIDE
NSG NSS6020 WEEK 7 STUDY GUIDE
1. Bartholin’s gland infection
Large, red, tense swelling seen to left introitus & on palpation of the mass causes pain.
Usually caused by trauma, gonocci, anaerobes like bacterioides & peptostreptococci & C.
trachomatitis. Acutely the gland appears as a tense, hot, very tender abscess. Look for pus
emerging from the duct or erythema around the duct opening.
2. Candida Vaginitis
Visualization of the vulva shows a thick, white, & curdy, may be thin but typically thick, not as
profuse as in trichomonal infection, not malodorous. Discharge, pH 4.1 & the KOH whiff test is
negative with no unusual smell. Wet prep shows budding hyphae.
Candida albicans, a yeast (normal overgrowth of vaginal flora) many factors predispose,
including antibiotic therapy.
Pruritus; vaginal soreness; pain on urination from skin inflammation; dyspareunia. The vulva
& even the surrounding skin are often inflamed & sometimes swollen to a variable extent. The
vaginal mucosa is often reddened, with white tenacious patches of discharge; the mucosa may
bleed when the patches are scraped off. In mild cases the mucosa looks normal. Scan
potassium hydroxide (KOH) preparation for the blanching hyphae of candida.
3. Bacterial Vaginitis
Caused by bacterial overgrowth from anaerobic bacteria; often transmitted sexually. There may
be a gray or white, thin, homogenous, malodorous; coats the vaginal walls; usually profuse,
may be minimal. Unpleasant fishy or musty genital odor; reported to occur after intercourse.
The vulva & vaginal mucosa usually appear normal. Scan saline wet mount for CLUE
CELLS (epithelial cells with stippled borders) sniff for fishy odor after applying KOH (whiff
test) test the vaginal secretions for PH > 4.5
4. Trichomonal Vaginitis
A protozoa; often but nor always acquired sexually. Yellowish, green, gray, possibly frothy.
Often profuse & pooled in vaginal fornix; may be malodorous. Pruritis (not as severe as w/
candida); painful urination from skin inflammation or urethritis or dyspareunia.
Vestibule & labia minora may be erythematous; the vaginal mucosa may be diffusely reddened
with small granular spots of petechiae in the posterior fornix. Mild cases the mucosa may look
normal. Scan wet mount for trichmonads.
5. Bleeding between periods is known as metrorrhagia.
