Vaginal Discharge And STD

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Treatment • Complicated infections – Poorly controlled diabetes, pregnancy, recurrent infection, immunocompromised, infection with non-albicans Candida, or severe disease choose prolonged therapy • 2 doses of oral fluconazole 72 hours apart • 7-10 days of topical therapy – Pregnant women – > 4 episiodes/yr • Maintenance regimen of fluconazole 150 mg po once weekly x 6 months
Bacterial Vaginosis • Replacement of Lactobacillus species by vareity of anaerobic bacteria – Gardnerella vaginalis – Mycoplasma hominis • MMost t frequent f t cause of f vaginal i l discharge di h – 22-50% of all cases • > 50% of affected women are asymptomatic
Page 1 and 2: Vaginal Discharge Discharge and STD
Page 3 and 4: Epidemiology • Lifetime risk for
Page 5 and 6: • Dx: Vulvovaginal Candidiasis -
Page 7: Treatment • Uncomplicated infecti
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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