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NSG_6020_W7_Knowledge_Check.NEWEST-2022

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Week 7 Quiz 1. Bartholin’s gland infection Large, red, tense swelling seen to left introitus & on palpation of the mass causes pain. Usually caused by trauma, gonocci, anaerobes like bacterioides... & peptostreptococci & C. trachomatitis. Acutely the gland appears as a tense, hot, very tender abscess. Look for pus emerging from the duct or erythema around the duct opening. 2. Candida Vaginitis Visualization of the vulva shows a thick, white, & curdy, may be thin but typically thick, not as profuse as in trichomonal infection, not malodorous. Discharge, pH 4.1 & the KOH whiff test is negative with no unusual smell. Wet prep shows budding hyphae. Candida albicans, a yeast (normal overgrowth of vaginal flora) many factors predispose, including antibiotic therapy. Pruritus; vaginal soreness; pain on urination from skin inflammation; dyspareunia. The vulva & even the surrounding skin are often inflamed & sometimes swollen to a variable extent. The vaginal mucosa is often reddened, with white tenacious patches of discharge; the mucosa may bleed when the patches are scraped off. In mild cases the mucosa looks normal. Scan potassium hydroxide (KOH) preparation for the blanching hyphae of candida. 3. Bacterial Vaginitis Caused by bacterial overgrowth from anaerobic bacteria; often transmitted sexually. There may be a gray or white, thin, homogenous, malodorous; coats the vaginal walls; usually profuse, may be minimal. Unpleasant fishy or musty genital odor; reported to occur after intercourse. The vulva & vaginal mucosa usually appear normal. Scan saline wet mount for CLUE CELLS (epithelial cells with stippled borders) sniff for fishy odor after applying KOH (whiff test) test the vaginal secretions for PH > 4.5 [Show More]

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