DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
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This is a quick review... Feel free to add or comment.
Bacterial Vaginosis -NOT an STD, but rather an imbalance of normal flora.
*FISHY odor
*caused by GARDNERELLA VAGINALIS (BACTERIAL)
*Increase pH (>5)
***THIN GRAYISH DISCHARGE
***CLUE CELLS
-WBC's -Rarely Seen on Wet Mount
-Tr: Metro or Clindamycin
Trichomonas Vaginalis -2nd MC STD in the US! -(Note: #1 is HPV)
*Itchy and Burning -PAIN with intercourse
*Inflammation -STRAWBERRY Cervix
*caused by trichomonads -motile pear-shaped flagellated (PROTOZOAL)
***GREEN FROTHY DISCHARGE
*Increase pH (>5)
*WBCs seen on wet mount
-Tr: Metro.
Yeast Vaginitis -NOT an STD, but can occur with DM, obesity, pregnancy, etc.
*Itchy and burning
*caused by Candida albicans (a FUNGUS)
***WHITE CURDY DISCHARGE
*Inflammation present
*NORMAL pH
*PSEUDOHYPHAE on KOH Prep
*WBCs seen on Wet Mount
*Tr: Azole creams -or single dose PO Fluconazole
Note: Normal vaginal pH <4.5
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| Drtweetie
Forum Elite
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Do we also treat partner in Trichomonas?
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| claudia_i
Forum Senior
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Posts: 167
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yes, treat the partner simultaneously.
pH < 4.5 (normal) in Candidiasis, pH > 5.0 in Bacterial vaginosis, pH > 6.0 in Trichomonas inf.
Be careful about the wet mount: it's KOH for yeast inf and saline solution for Trichomonas and "clue cells" in bacterial vaginosis.
Edited by claudia_i on 08/18/07 - 01:07 AM
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| doyoudig
Forum Guru
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alos BV - Not a Vaginitis, Abscence of Inflammation
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| liliaeliz
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godddddddddddddddddddddd
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