Vulvovaginitis: Difference between revisions

No edit summary
No edit summary
Line 6: Line 6:
*[[Bacterial Vaginosis]]
*[[Bacterial Vaginosis]]
*[[Candida Vaginitis]]
*[[Candida Vaginitis]]
 
*[[Trichomonas]]
==[[Trichomonas]]==
===Background===
*Considered an STI
*A/w preterm birth, PID, cervical cancer, increased transmission of other STIs
 
===Diagnosis===
*Yellow, malordorous discharge
*Vaginal erythema or edema
*Wet mount shows mobile trichomonads
 
===Treatment===
*Treat sexual partners
*Metronidazole 2gm PO in single dose
*If pregnant d/w OB prior to TX, Flagyl associated with preterm labor
**Metronidazole 500mg PO BID X 7d


==[[Contact Vulvovaginitis]]==
==[[Contact Vulvovaginitis]]==

Revision as of 23:59, 7 March 2014

Background

  • Candidiasis and contact vaginitis may occur in virgins
  • Atrophic vaginitis may occur in postmenopausal women

Differential Diagnosis

Contact Vulvovaginitis

  • Due to exposure of vulvar epithelium and vaginal mucosa to chemical irritant or allergen
  • Diagnosis of exclusion; rule-out infectious cause first
  • Consider tx w/ topical corticosteroids applied BID-TID x2-3d

Source

Tintinalli

Retrieved from "https://www.wikem.org/w/index.php?title=Vulvovaginitis&oldid=18129"