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. [Show More]

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