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68wm6 Inf Fem Rep
Infections of the Female Reproductive Tract
| Question | Answer |
|---|---|
| What are most common causative organisms of vaginitis? | *E.coli *T.vaginalis *Candida Albicans |
| Who is vaginitis most frequently seen in? | Women with diabetes |
| What are the risk factors for vaginitis? | *Diabetes *Stress *Malnutrition *Aging *Intercourse *glucose or glycogen in urine *Change in vaginal pH or flora *Hormonal changes *Use of systemic antibiotics *Compromised immunity *Long term use of birth control pills |
| What kind of vaginitis has a milk like discharge with odor? | Bacterial |
| What kind of vaginitis has a profuse, foamy discharge? | T. vaginalis |
| What kind of vaginitis has a thick, cheese-like discharge? | C. albicans |
| S/Sx of vaginitis | *Yellow, white, or grayish white exudate *Perineal pruritis, burning and edema *Discomfort in lower abdominal region *Dysuria *Painful intercourse |
| In what test is a sample of vaginal discharge taken and a slide made for microscopic examination? | Vaginitis test (Wet mount) |
| Which form of vaginitis can be sexually transmitted? | Bacterial simple vaginitis |
| Which form of vaginitis does Low estrogen causes vulva and vagina to atrophy and become susceptible to infection? | Atrophic (senile) vaginitis |
| What is cervicitis? | Inflammation or infection of the cervix |
| True or False: Due to the location of the cervix, cervicitis is rare. | False. It is one of the most common infections of the female reproductive system |
| What causes cervicitis? | *Vaginal infections or STDs (Chlamydia, Gonorrhea, Herpes II, Trichomoniasis) *Lacerations r/t childbirth or abortions |
| S/Sx of cervicitis | *Leukorrhea (Whitish Discharge) *Menstrual irregularities *Dyspareunia *Backaches |
| What is Pelvic Inflammatory Disease (PID)? | : Any acute, subacute, recurrent, or chronic infection of the cervix, ovaries, fallopian tubes, or uterus that has extended to the connective tissues lying between the broad ligaments |
| Where does the causative infection for PID enter the pelvic organs through? | *Vagina, peritoneum *Lymph glands *Blood stream |
| What can cause PID? | *Insertion of biopsy curette or irrigation catheter *Abortion *Pelvic surgery *Sexual intercourse *Infection during pregnancy. |
| What is the Tx of vaginitis? | *Vaginal suppositories, ointments, and creams *Douching frequently prescribed |
| What are the causative organisms of PID? | *Gonococccus *Streptococcus *Staphylococcus *Chlamydia *Tubercle bacilli |
| S/Sx of PID | *Malodorous purulent discharge *Backache *Pelvic, severe abdominal pain *Fever, chills, malaise *Nausea, vomiting |
| If the Tx of vaginitis is a cream or suppository, how is it to be taken? | Taken at bedtime, remain in recumbent position for 30 minutes. |
| What is Toxic Shock Syndrome (TSS)? | An acute bacterial infection |
| A woman who has had PID is more likely to have a/an _____ than a woman with normal health. | Ectopic Pregnancy |
| What is used to Dx abscesses in PID? | Ultrasound |
| What confirms the extent of PID? | Laparoscopy |
| What organism causes toxic shock? | Staphyloccoccus Aureus |
| True or False: Toxic shock syndrome is only seen in menstrating women and women using tampons. | False. May be seen in men and in nonmenstruating women |
| S/Sx of TSS | *Flu-like signs and symptoms first 24 hours *Between days 2-4 of menses: High fever (102 F), chills, Nausea, vomiting, diarrhea, Myalgia, Hypotension, Septic shock, Hyperemia |
| How is TSS Dx? | *Vaginal smear *Leukocytosis, thrombocytopenia *Elevated BUN, creatinine, bilirubin levels *ALT, AST, CPK are also elevated |
| In PT teaching for TSS, what should be avoided? | Super-absorbent tampons |
| In PT teaching for TSS, how are tampons to be worn? | Alternate tampons with pads, changing tampons often (q 4 hr). |
| In PT teaching for TSS, when should the PT seek medical attention? | if sudden fever developes when menstruating. |
| Why is vaginitis common in women with diabetes? | Because of the increase of glucose in the urine. The glucose can breed the monilial fungus due to the high carbohydrate content of glucose. |
| When are antifungal agents taken orally or parenterally? | Deep-seated or systemic infections |
| Who are systemic antifungals used cautiously in? | patients with depressed bone marrow reserve |
| What are the adverse effects of antifungal agents? | *Rash *Urticaria *Pruritus |
| What infection of the female reproductive system leads to a red, macular palmar or defuse rash and later desquamation? | TSS |
| With the application of topical antifungals, what do you not used unless specified by the physician? | Occlusive dressings |
| How long can deep seated fungal infections take to treat? | weeks to months |
| What are the topical antifungals used? | List FAR too large to fit here. Just remember the 'statins and the 'nazoles |
| What strong antifungal causes renal damage? | Amphotericin B |
Created by:
Shanejqb
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