Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Gyn Infections
Gynecology
| Question | Answer |
|---|---|
| On microscopic exam, these suggest presence of bacterial vaginosis | Clue cells (epithelial cells with irregular borders in clusters, very shiny) |
| Bacterial vaginosis requires 3 of 4 criteria. What are the 4 criteria? | Gray-white discharge, alkaline pH(>4.5) 2/2 suppression of lactobacilli, positive “whiff” test (fishy odor 2/2 anaerobes), clue cells on wet prep |
| Bacterial vaginosis is not considered an: | STD |
| Treatment for bacterial vaginosis | Metronidazole (500mg PO BID or 750 QD x7d) or clindamycin (300mg PO BID); or topical |
| Should you treat male partners of women with bacterial vaginosis? | No |
| Signs and Symptoms of Trichomonas vaginitis | Severe pruritus, musky greenish-yellow/frothy discharge, dysuria, dyspareunia, petechiae / strawberry cervix |
| Treatment for trichomonas vaginitis | Metronidazole 2gm PO x1 or 500mg BID x7d. Nonoxynol-9 helps prevent. Treat partners, look for other STDs |
| Treatment for yeast vaginitis | OTC imidazoles, oral fluconazole 150mg |
| Atrophic vaginitis often masquerades as what | Infection |
| Signs and symptoms of atrophic vaginitis | Pruritis/burning, vaginal dryness, dyspareunia, possibly spotting, pale/thin vaginal mucosa, loss of vaginal rugation; women w/o menses (decreased estrogen) |
| Bilateral Bartholin abscess said to be associated with what | Gonorrhea. Strep, E. coli, Chlamydia, anaerobes |
| Treatments for Bartholin gland abscess if not pointing | Antibiotic treatment may be successful |
| Treatment for Bartholin gland abscess | I&D and placement of Word catheter (left in for 1-2 weeks), marsupialization, needs to remain open to avoid recurrence |
| What organism is associated with toxic shock syndrome | S. aureus/endotoxins |
| CDC case definition of toxic shock syndrome | Fever >39C, hypotension (may ->shock in <48h), diffuse erythroderma, desquamation, involvement of at least 3 organ systems. |
| Treatment for toxic shock syndrome | Supportive, look for foreign body in vagina and remove, clindamycin and oxacillin/nafcillin, MRSA: clindamycin and vancomycin/linezolid |
| Pruritus, burning; cottage cheese discharge; dyspareunia | Yeast vaginitis |
| Chronic Bartholin cyst may be mistaken for: | acute abscess, esp perirectal abscess (more posterior) |
| DDx for vaginal discharge and pH: | Candida, BV, trich: itching & discharge. BV / trich: pH >4.5, Candida lower pH |
| Vaginitis DDx | candida (azoles), trich/BV (pH >4.5; flagyl); genital warts (podophyllum/ trichloroacetic acid) |
| Vaginitis sxs | vaginal discharge; Dyspaurenia; Dysuria; Urinary Frequency |
| Toxic shock syndrome: Skin | Erythroderma of skin / mucous membrane; diffuse, red, sunburn-like rash. Involves palms and soles. Conjunctival-scleral hemorrhage; later, pruritic maculopapular rash, desquamation |
| 6cm unilateral, mobile, tender adnexal mass | Tubo-ovarian abscess |
| If Candida is suspected clinically, but KOH is negative, suspect: | Candida glabrata |
| Cytolytic vaginitis is distinguished from BV by: | lower pH (3.5-4.5, 2/2 lactobacillus overgrowth) |
| Toxic shock syndrome recurrence | 30% of women with TSS have recurrence. Greatest risk in 1st 3 menstrual cycles after original episode |
| TSS mortality | 3-6%. Most common COD: ARDS, DIC, hotn/shock |
Created by:
Abarnard
Popular Medical sets