Obstetrics and Gynecology

Vaginitis

• Bacterial vaginosis (BV)- Anaerobic  • Trichomoniasis • Candidiasis (Candida) Feature Bacterial Vaginosis  (BV), Anaerobic Trichomoniasis Candidiasis (Candida) Organism  Type Bacteria  (Gardnerella vaginalis, Anaerobes) Protozoan (Trichomonas vaginalis) Fungus (Candida albicans) Discharge • Thin • Grey-white • Fishy-smelling • Thin  • Green • Foul-smelling • Frothy • Thick • Curdy white (“cottage cheese”) Special Point Clue cells on  microscopy Colpitis macularis / “strawberry cervix” Most common vaginitis in

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Trichomonas vaginalis

– Flagellated protozoan parasite  – Lack of cyst stage, it exists only in the trophozoite form – Symptoms: Profuse frothy greenish yellow discharge – It shows twitching motility / Jerky / Wobbling / Rotatory motility  🔴 NEET PG 2023– Colpitis macularis: Strawberry appearance of vaginal mucosa (Angry looking vagina) – Culture: Diamond’s media– Treatment: Metronidazole / Tinidazole CAMP

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Amsel’s criteria

• Used to clinically diagnose Bacterial vaginosis (BV). Diagnosis requires at least 3 out of 4 of the following criteria:1. Thin, homogeneous, white vaginal discharge – Usually adherent to the vaginal walls.  2. Vaginal pH > 4.5 – Measured with pH paper; normal vaginal pH is ≤ 4.5.  3. Positive Whiff test (Amine test) – A fishy odor

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