Vaginal Discharge And STD

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Vulvovaginal Candidiasis • Accounts for 17-30% of cases of vaginitis g – >90% of cases due to C. albicans • Signs and symptoms: – Thick Thick, curdy, curdy white, white nonodorous discharge – Burning, itching, irritation, dyspareunia • Risk factors – antibiotic use • Rate of symptomatic infection 20-25% – Diabetes –HIV – Sexual activity – Pregnancy
• Dx: Vulvovaginal Candidiasis – Physical exam findings • Erythema and edema of vulva and vagina • Clumpy, white adherent discharge – Wet mount • pH normal (4-4 (4-4.5) 5) • Yeast/hyphae seen in 60-70% on KOH stain • No increase in PMN’s on saline stain – Culture • Recurrent Candida vaginitis or for vaginitis unresponsive to antimycotic y therapy py
Page 1 and 2: Vaginal Discharge Discharge and STD
Page 3: Epidemiology • Lifetime risk for
Page 7 and 8: Treatment • Uncomplicated infecti
Page 9 and 10: Bacterial Vaginosis • Replacement
Page 11 and 12: • Diagnosis g - Hx and PE: BV •
Page 13 and 14: • Treatment BV - Metronidazole 50
Page 15 and 16: Trichomonas Trichomonas Vaginalis
Page 17 and 18: • Diagnosis Trichomonas Trichomon
Page 19 and 20: • Treatment - Metronidazole Trich
Page 21 and 22: Atrophic Vaginitis • Dryness and
Page 23 and 24: • Clinical - History - Pelvic exa
Page 25 and 26: Chlamydia • Chlamydia trachomatis
Page 27 and 28: • Diagnosis Chlamydia - Nucleic a
Page 29 and 30: N. Gonorrhea Gonorrhea • Clinical
Page 31 and 32: N. Gonorrhea Gonorrhea • Treatmen
Page 33 and 34: Pelvic Pelvic Inflammatory Disease
Page 35 and 36: Pelvic Pelvic Inflammatory Disease
Page 37 and 38: • Treatment - Outpatient PID •
Page 39: Anogenital HPV • Single or multip
Page 42 and 43: • Home treatment Imiquimod Imiqui
Page 44 and 45: • TCA Trichloroacetic Trichloroac
Page 46 and 47: Clinical Clinical Manifestations
Page 48 and 49: Herpes
Page 50 and 51: Treatment • Primary y infection -
Page 52 and 53: Syphilis • Sexually y transmitted
Page 54 and 55:
Chancre
Page 56 and 57:
Latent Latent Syphilis • Asymptom
Page 58 and 59:
• Asymptomatic • Symptomatic Ne
Page 60 and 61:
Treatment • Primary, y, secondary
Page 62 and 63:
Screening Guidelines • Screen for
Page 64:
Screening Continued • HIV screeni
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Vaginal Discharge And STD

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