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Old 06-26-2011
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ObGyn Itching and foul odour discharge

A 25-year-old woman with vaginal itching, burning on urination and whitish gray vaginal discharge with a foul odor. She has no other physical findings. A wet mount preparation shows clue cells. The cause of this patientís condition is

a. Candida
b.
Chlamydia trachomatis
c.
Human papillomavirus
d. Mycoplasma
e.
Trichomonas vaginalis
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e. Trichomonas vaginalis
easy one
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Old 06-26-2011
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but clue cells are present in bacterial vaginisis ..... trichomona have motile flagellated organisms on wet mount !!!!!
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Quote:
Originally Posted by willshineIA View Post
but clue cells are present in bacterial vaginisis ..... trichomona have motile flagellated organisms on wet mount !!!!!
sorry i was half sleepy when i answered
the answer is

d. Mycoplasma


The microorganisms involved in BV are very diverse, but include Gardnerella vaginalis, Mobiluncus, Bacteroides, and Mycoplasma. A change in normal bacterial flora including the reduction of lactobacillus, which may be due to the use of antibiotics or pH imbalance, allows more resistant bacteria to gain a foothold and multiply.
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Quote:
Originally Posted by miss patho View Post
sorry i was half sleepy when i answered
the answer is

d. Mycoplasma


The microorganisms involved in BV are very diverse, but include Gardnerella vaginalis, Mobiluncus, Bacteroides, and Mycoplasma. A change in normal bacterial flora including the reduction of lactobacillus, which may be due to the use of antibiotics or pH imbalance, allows more resistant bacteria to gain a foothold and multiply.
Yes. Indeed. Well done miss patho as ever!

Here's the explanation from consult!

Option D (Mycoplasma) is correct. Bacterial vaginosis is a polymicrobial infection. Mycoplasma culture is not sufficient to diagnose bacterial vaginosis, but Mycoplasma is a likely involved organism.

Option A (Candida) is incorrect. Candida yeast infection would be apparent on examination with cheesy discharge and a weeping rash.

Option B (Chlamydia trachomatis) is incorrect. Chlamydial infection would not be surprising in this patient, but the organism is not associated with bacterial vaginosis.

Option C (Human papillomavirus) is incorrect. Human papillomavirus causes genital warts and cervical cancer. It is not associated with bacterial vaginosis.

Option E (Trichomonas vaginalis) is incorrect. Wet mount preparation would show flagellated organisms. T. vaginalis usually is associated with a copious frothy, greenish vaginal discharge.
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