NURSE-UN 1242 Lecture Notes - Lecture 6: Oligomenorrhea, Trichomoniasis, Menorrhagia
5 Jan 2019
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Phase of menstrual cycles, stds, contraceptive choices, antibiotics, sex, hygienic products (don"t need it! The vagina is not dirty), pregnancy, moisture retention, foreign bodies, estrogen levels. Alkaline products (semen and blood) can alter the acidic environment. 90% of vaginitis is caused by: bacterial vaginosis, candida vulvovaginitis, trichomoniasis, normal cells: crispy borders, prominent nucleus. Bacterial vaginosis: bacterial vaginosis: clue cells; dimpled, impregnated with bacteria, bigger nucleus, borders not crisp. Candida vulvovaginitis: yeast is budding; pseudohyphae; (yeast infection) borders are not crisp. How do we differentiate between these 3 common infections: differentiation spec exam, saline and koh slide prep and ph; nitrazine paper can pick up ph above 4. 5. Indicates a failure of providers of doing the adequate counseling needed for prevention. 5 p"s approach to sexual history taking: partners, practices, protection, past history of stds, prevention of pregnancy, don"t assume they are heterosexual or monogamous. I am going to ask you a few questions about your sexual health and sexual practices.
