Term
| herpes simplex: timeline, appearance |
|
Definition
lesion 3-7d post intercourse
painful red papule on vulva > vesicle > ulcer (has virus particles) |
|
|
Term
| herpes simplex: symptoms 5 |
|
Definition
papule
leukorrhea (white discharge) when on cervix or vagina
fevere
malaise
tender inguinal nodes |
|
|
Term
| herpes simplex: transmission |
|
Definition
in active or latent phase but more in active
greatest danger is to neonate during birth which can cause systemic infection |
|
|
Term
| herpes somplex: prognosis |
|
Definition
heal in 1-3wk but remain latent in regional nerve ganglia
2/3 have reoccurrance |
|
|
Term
| candidia infection: cause 4, signs 3, diagnosis |
|
Definition
10% are carriers, DM, contraceptives, pregnancy promote infection
small white patches, leukorrhea, puritis
wet mount or culture |
|
|
Term
| trichomonas vaginalis signs 3 |
|
Definition
discomfort
frothy discharge
strawberry cervix |
|
|
Term
| what is the most common vaginal infection of childbearing age |
|
Definition
|
|
Term
|
Definition
imbalance of flora
multiple partners
douching
pregnancy
smoking |
|
|
Term
| bacterial vaginosis: signs 4 |
|
Definition
fish like ordor
gray discharge
burning/itching
frequently asymptomatic |
|
|
Term
| bacterial vaginosis: diagnosis 4 |
|
Definition
clue cells
fishy odor with 10% KOH
vaginal pH >4.5
thin homogenous discharge |
|
|
Term
| bacterial vaginosis: tx and prognosis |
|
Definition
ASSOCIATED WITH PROM/PREMATURE BIRTH
may ascend causing PID |
|
|
Term
|
Definition
pelvic pain
adenexal tenderness (by fallopian tubes)
fever
vaginal discharge |
|
|
Term
| cause of PID non-pregnancy associated 3 |
|
Definition
gonococci
chalmydiae
enteric bacteria |
|
|
Term
| cause of PID post partum or abortion 4 |
|
Definition
STAPHLOCOCCI
STREPTOCOCCI
COLIFORMS
CLOSTRIDIUM |
|
|
Term
| signs of gonococcal PID 5 |
|
Definition
inflammation of glands (bartholin) 2-7d post inoculation
acute suppurative reaction: inflammation of superificial mucosa SPARING ENDOMETRIUM AND INVOLVING TUBES
cervical involvement: thick white dishcarge
acute suppurative salpingitis
proteolysis of inflammatory cells causes serous fluid accumulation |
|
|
Term
| suppurative salpingitis 4 signs |
|
Definition
tubal serosa hyperemic: layered with fibrin
fimbrae leak exudate
salpingo-oophoritis: fimbrae seal to ovary and infect it
tubo-obarian abscess: difficult to tx |
|
|
Term
| gonococcal PID tx and prognosis |
|
Definition
microbe will go away with time or antibiotics but ABSCESS IS DIFFICULT TO TX
if pt is sexually active just treat for PID |
|
|
Term
| post partum or abortion PID signs |
|
Definition
LESS EXUDATE IN TUBE OR MUCOSA, GREATER DEEP INVOLVEMENT
infection spreads through wall to serosa
spreads up uterus via lymphatics and blood
BACTEREMIA IS FREQUENT |
|
|
Term
| post partum or abortion PID tx |
|
Definition
more difficult to control with antibiotics
surgical removal of organ may be needed |
|
|
Term
| general lab signs of PID 6 |
|
Definition
elevated ERS/CRP
temp >101
bacteria growth
WBC in vaginal secretions
endometrosis in biopsy
fluid filled tubes on U/S or MRI |
|
|
Term
|
Definition
labia majora
labia minora
vestibule
up to hymen
squamous epithelium |
|
|
Term
| vulvar non-neoplastic epithelial disorder signs 4 |
|
Definition
white
scaly
plaque like mucosal thickening
cause vulvar discomfort or puritis |
|
|
Term
| vulvar non-neoplastic epithelial disorder ddc |
|
Definition
vitiligo
inflammatory dermatoses (psoriasis)
extramammary pagets
carcinoma insitu
invasive carcinoma |
|
|
Term
| types of vulvar non-neoplastic epithelial disorders 2 |
|
Definition
lichen sclerosis
lichen simplex chronicus |
|
|
Term
| lichen sclerosis aka, epidemiology, cause |
|
Definition
chronic atrophic vulvitis
AFTER MENOPAUSE
autoimmune |
|
|
Term
| lichen sclerosis: morphology 5 |
|
Definition
hyperkeratosis
atrophy of epidermis
no rete pegs
subepithelial and dermal fibrosis
band like lymphocytic infiltrate |
|
|
Term
|
Definition
atrophy of labia
suepithelial fibrosis
narrow introitus
litch scratch cycle |
|
|
Term
| tx and prognosis lichen sclerosis |
|
Definition
topical streroids to prevent VIN
itch scratch cycle causes squamous hyperplasia then atypia caising VIN (SCC precursor) |
|
|
Term
| lichen simplex chronicus: cause, 3 signs |
|
Definition
scratching to relieve puritis
leukoplakia
thick lethan vulvar skin
chronic irritation |
|
|
Term
| lichen simplex chronicus: morphology 4 |
|
Definition
acanthosis
hyperkeratosis of vulva squamous epithelium
epithelium thickened
mitotic activity in basal and prickle layers |
|
|
Term
| lichen simplex chronicus prognosis |
|
Definition
| not significant cancer precursor unless coexisting atypia |
|
|
Term
| condyloma acuminatum (venerial wart): cause |
|
Definition
| HPV 6 or 11 (DNA virus), usually multiple |
|
|
Term
| condyloma acuminatum signs |
|
Definition
| multiple squamous lesions with verrucous (warty) appearance on perineal,vulvar, and eprianal regions, vaginal sometimes cervix |
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