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Vaginal Discharge
Question | Answer |
---|---|
Patient complains of fishy odour and thin white discharge | Bacterial vaginosis |
Clinical features of BV | 1. thin, gray, homogenous discharge 2. presence of clue cells on gram stain |
Tests for BV | postassium hydroxide whiff test pH of vaginal discharge |
BV tx | Metronidazole, Clindamycin, tinidazole |
Criteria for BV diagnosis | Amsel criteria |
Components of Amsel criteria | 1. presence of clue cells 2. pH greater than 4.5 3. 10% KOH whiff test 4. characteristic appearance thin gray homogenous. need only 3 |
How may gonorrhea present | fever, dysuria, foul smelling PURULENT discharge, dyspareunia, mild abdominal pain |
what may you see on gram stain in gonococcal infection | intracellular gram negative diplocci |
complications of gonoccocal infection | PID, urethral strictures, infertility |