vaginal dischargebijfdvjbefivubefiuvbfi.pptx

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1. The vaginal flora of a normal, asymptomatic reproductive-aged woman includes multiple aerobic, acultative anaerobic, and obligate. anaerobic species produce substances such as lactic acid and hydrogen peroxide that inhibit nonindigenous organisms secretory leukocyte protease inhibitor is found in the vagina

2. Bacterial Vaginosis Former terms are Haemophilus vaginitis, Corynebacterium vaginitis, Gardnerella or anaerobic vaginitis, and nonspecific vaginitis. Bacterial vaginosis (BV) is also associated with a signi cant reduction or absence o normal hydrogen peroxide- producing Lactobacillus species. Bacterial vaginosis is the most common cause of vaginal discharge among reproductive-aged women. nonirritating, malodorous vaginal discharge is characteristic vagina is usually not erythematous, and cervical examination reveals no abnormalities. Clinical diagnostic include: (1) microscopic evaluation of vaginal-secretion saline preparation, (2) release of volatile amines produced by anaerobic metabolism, and (3) determination of the vaginal pH

3. Adding 10-percent potassium hydroxide (KOH) to a resh sampleo vaginalsecretionsreleasesvolatileaminesthathavea shy odor. T is is o ten colloquially re erred to as a “whi test.” T e nding o both clue cells and a positive whi test result is pathogno- monic, even in asymptomatic patients