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Stack #140397

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Question
Answer
how many women are affected by PMS   85%  
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vaginal complaints are the most common reason for gynecological consultation   approximately 10 million office visits annually  
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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  
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what is the purpose of this pH and normal flora?   maintains an enviroment to prevent overgrowth of other things  
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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  
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vaginal discharge   1.5 g of fluid, odorless, clear or white, viscous/sticky, increases in secretions, druing ovulation..  
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three most common types of vaginal infections are   bacterial vaginosis (BV), vulvovaginal candidiasis VVC adn trichomoniasis or a combination of above  
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BV can lead to   PID urianry tract infections  
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how do you different what condition a women has based on symptoms   discharge, odor of discharge, pruritis  
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if have a thich white cottage cheese   VVC  
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thin, off white or discolored green gray or tan   BV  
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odoar of discharge   BV almost always, Trichomoniasis may be malodorous, and VVC lack of odor  
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pruiritis   ....  
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FEM-V is what   otc device designed to distinguish between vaginal infections and detect pH of vaginal discharge adn viscosity  
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which infections will change PH   BV increase, VVC does not affect pH does not detect STI so trico  
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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  
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what if get positive result   need to see doc because don't have yeast infection and need some RX drugs  
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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  
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what do the results mean of your vag device   if greater than 5 with unpleaseant odor, color odor, itching then may be bacterial vaginosis  
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if first time suffer of yeast   refer to docotor  
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some noninfectious cause of vaginal symptoms   allergic reactions latex, spermicides, vaginal lubricants, douches, feminine hygience products, soaps/detergetns, panty lines, sanitary napkins  
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vulvovaginal candidiasis (VVC)   75% of all women will get one and 50% will get sec and 5% get reoccurance  
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what is the most common cause of yeast   candida albicans  
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why are other cause of yeast on the rise   because OTC meds now  
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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  
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purposed risk factors fo VVC   keeping a warm environment, sitting in wet clothing, eating sugars,  
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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  
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treatment options will not be on exams   soo good luck  
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Created by: lainylaina