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Stack #140397
| Question | Answer |
|---|---|
| how many women are affected by PMS | 85% |
| vaginal complaints are the most common reason for gynecological consultation | approximately 10 million office visits annually |
| the vaginal ecosystem | colonized by a variety of organisms lactobacillis 90-95% of vaginal flora acts on glycogen to form lactic acid which creates an acidic pH of about 4-4.5 |
| what is the purpose of this pH and normal flora? | maintains an enviroment to prevent overgrowth of other things |
| factors that influence the ecosystem: | hormaonal fluctuations of menstrual cycle, aging, certain, disease state such as diabetes because more sugar in urine and get bacteria and yeast, antibiotics are prone to get yeaste infections, hormones, contraceptive preparation, change ph, douch, partn |
| vaginal discharge | 1.5 g of fluid, odorless, clear or white, viscous/sticky, increases in secretions, druing ovulation.. |
| three most common types of vaginal infections are | bacterial vaginosis (BV), vulvovaginal candidiasis VVC adn trichomoniasis or a combination of above |
| BV can lead to | PID urianry tract infections |
| how do you different what condition a women has based on symptoms | discharge, odor of discharge, pruritis |
| if have a thich white cottage cheese | VVC |
| thin, off white or discolored green gray or tan | BV |
| odoar of discharge | BV almost always, Trichomoniasis may be malodorous, and VVC lack of odor |
| pruiritis | .... |
| FEM-V is what | otc device designed to distinguish between vaginal infections and detect pH of vaginal discharge adn viscosity |
| which infections will change PH | BV increase, VVC does not affect pH does not detect STI so trico |
| FEM-V cannot be used when | connot be used during meopause, menstruation one day before or 5 days after, within 48 hours of intercourse or douching while sweating, within 72 hours of vaginal product application |
| what if get positive result | need to see doc because don't have yeast infection and need some RX drugs |
| vagisil screening device is what | vaginal swab with pH paper on the end used to detect vaginal pH and differentiate form Fem-V (not detecting viscosity like FEM-V they have some stipulation except sweating, screening device only take a few mins |
| what do the results mean of your vag device | if greater than 5 with unpleaseant odor, color odor, itching then may be bacterial vaginosis |
| if first time suffer of yeast | refer to docotor |
| some noninfectious cause of vaginal symptoms | allergic reactions latex, spermicides, vaginal lubricants, douches, feminine hygience products, soaps/detergetns, panty lines, sanitary napkins |
| vulvovaginal candidiasis (VVC) | 75% of all women will get one and 50% will get sec and 5% get reoccurance |
| what is the most common cause of yeast | candida albicans |
| why are other cause of yeast on the rise | because OTC meds now |
| risk factors for VVC | pregnancy, high dose of estrogen, or decline in glycogen from mnenopause that leads to decrease lactic acid adn increase vaginal pH, medications that can cause are antibiotics, systemic corticosteroid, high hormones, IUD and sponges |
| purposed risk factors fo VVC | keeping a warm environment, sitting in wet clothing, eating sugars, |
| if greater than three per year, or had an infection within past 2 months amy indicate resistance, more sever symptoms, symptoms of fever of systemic, concurrent predisposing, preganancy, diabetes HIV or corticosteroid and antineoplastic | need to to referred |
| treatment options will not be on exams | soo good luck |