tag:blogger.com,1999:blog-1482277285127324612024-03-13T14:19:45.283-07:00VULVOVAGINITISHECHO POR LAS MAS LINDAS DE LA ESCUELA DE OBSTETRICIA SHIRLEY ROXANNITA CHAO ESPERO LES SIRVA EL TRABAJO VAGOS PORQUE TODO QUIEREN A VACA............shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.comBlogger37125tag:blogger.com,1999:blog-148227728512732461.post-49424643194830248022010-01-11T16:22:00.000-08:002010-01-11T16:24:14.043-08:00VulvoVaginitis<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7eDBY99pvhVkxJBm_Yoh6UBmd2wGUbcQXw0bPuUMvb2SYin-A6iSxbAbCjoK52h0Nv23SuBGTNtZ86dHVIBPesTHRJgzBLWecYoMXp3UiRwSWSVzSYY4r_LqnxkYGM9Ca2PKLw5hMusc/s1600-h/portada.bmp"><img id="BLOGGER_PHOTO_ID_5425642412157405698" style="WIDTH: 320px; CURSOR: hand; HEIGHT: 240px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7eDBY99pvhVkxJBm_Yoh6UBmd2wGUbcQXw0bPuUMvb2SYin-A6iSxbAbCjoK52h0Nv23SuBGTNtZ86dHVIBPesTHRJgzBLWecYoMXp3UiRwSWSVzSYY4r_LqnxkYGM9Ca2PKLw5hMusc/s320/portada.bmp" border="0" /></a><br /><div></div>shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-39928575227075689162010-01-11T16:21:00.002-08:002010-01-13T15:56:25.362-08:00LEUCORREA FISIOLOGICA•Secreciones vulvares de las G. Skene, Bartholin, sudoríparas , sebáceas .<br />• Células vaginales y cervicales<br />• Transudado de la pared vaginal<br />• Moco cervical<br />• Líquidos endometriales y de las trompas de falopio<br />• Micro-organismos y sus productos metabólicosshirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-24007760205984740382010-01-11T16:21:00.001-08:002010-01-11T16:21:48.730-08:00LEUCORREAS FISIOLOGICAS•Consistencia flocular, blanquesina , fondo de saco posterior.<br /> MICROSCOPIA :<br />-Células epiteliales superficiales<br />-Pocos leucocitos<br />-C. epiteliales con bacterias adheridas (G. vaginalis )shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-48435656066967731132010-01-11T16:20:00.002-08:002010-01-11T16:21:18.482-08:00FLORA VAGINAL NORMAL•Aerobia +<br />• 6 especies de micro organismos<br />• Lactobacilos frecuentes ( peróxido de hidrógeno )<br />• Ph normal : 4,5 acido lácticoshirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-72999846272208859502010-01-11T16:20:00.001-08:002010-01-11T16:20:52.025-08:00VULVOVAGINITIS•Inflamación de la vagina y/o vulva,<br />•Leucorrea<br />•Con o sin prurito<br />• Y/o mal olor<br /> LEUCORREA : flujo vaginal no hemático , 1/3 de los casos como motivo único de consulta .shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-2187468336912888312010-01-11T16:19:00.002-08:002010-01-11T16:20:24.021-08:00<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnSRAOd5lvXggyzNRChtKNT9LYxconOKu820aXOU7UHUsgQVQbs1kXwTw1Q5uIQjnpigmhnlVYYVE01d2siKu2DY32xNiphYvi_B7NF2s1_-P-CeNYxMFx2mOdgqwrGOOhwV4bWAy1cC0/s1600-h/vulvovaginitis.bmp"><img id="BLOGGER_PHOTO_ID_5425641558897417970" style="WIDTH: 102px; CURSOR: hand; HEIGHT: 119px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnSRAOd5lvXggyzNRChtKNT9LYxconOKu820aXOU7UHUsgQVQbs1kXwTw1Q5uIQjnpigmhnlVYYVE01d2siKu2DY32xNiphYvi_B7NF2s1_-P-CeNYxMFx2mOdgqwrGOOhwV4bWAy1cC0/s320/vulvovaginitis.bmp" border="0" /></a><br /><div></div>shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-1817505426094948742010-01-11T16:19:00.001-08:002010-01-11T16:19:37.763-08:00CLASIFICACION•Vulvovaginitis Bacteriana<br /> - gonorrea<br /> -sífilis<br /> a- Sexualmente Transmisibles -vaginosis por G. <br /> -chlamidias<br /> - ureoliticumshirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-8539129250751205942010-01-11T16:18:00.000-08:002010-01-11T16:19:05.721-08:00<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMguCRxHMguPoYoyUouowIXbraenAe8KZCNgS7rvBIv-IemWxxrN7R2v9no4UtwVtrHdITEyqsnPXxOVajaZbAfJOXpRnVcGjS2RKlpQ0EzjfHlQf3b20KWlvcB5r4zX9vCWPxsilky84/s1600-h/uretritis+gonococica.bmp"><img id="BLOGGER_PHOTO_ID_5425641202116743074" style="WIDTH: 320px; CURSOR: hand; HEIGHT: 318px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMguCRxHMguPoYoyUouowIXbraenAe8KZCNgS7rvBIv-IemWxxrN7R2v9no4UtwVtrHdITEyqsnPXxOVajaZbAfJOXpRnVcGjS2RKlpQ0EzjfHlQf3b20KWlvcB5r4zX9vCWPxsilky84/s320/uretritis+gonococica.bmp" border="0" /></a><br /><div></div>shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-89676935631241365662010-01-11T16:17:00.002-08:002010-01-11T16:18:02.390-08:00- Piogénicas<br /> B- No sexualmente - Por enteropatógenos<br /> transmisibles - Tbc<br /> - Bartolinitisshirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-75296124402235363552010-01-11T16:17:00.001-08:002010-01-11T16:17:35.038-08:00VULVOVAGINITIS VIRALES•Herpes Genital<br />• Condilomas Acuminados<br />• Molusco contagioso<br /> VULVOVAGINITIS MICOTICAS<br />• Candidiasis<br />• Actinomicosisshirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com2tag:blogger.com,1999:blog-148227728512732461.post-28040005348678642332010-01-11T16:16:00.000-08:002010-01-11T16:17:08.573-08:00DIAGNOSTICO CLINICO•Anamnesis ( flujo )<br />• Examen ginecológico de región perineal<br /> vulva, uretra, vagina y cérvix .<br /> DIAGNOSTICO ETIOLOGICO<br />• Exámen al fresco<br />• Tinción de Gram<br />• Cultivo Bacteriológicoshirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-65135963521247937192010-01-11T16:15:00.000-08:002010-01-11T16:16:36.303-08:00<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZhISf5DlvAVabhYsA_iJYLw1Ei_H21XJos1ysPJArr8G4wLz1ZHSDtFa67IOiJe9SQbxDbE7S6sj0qRuB99tsU1Y1n968dM1-_69-zJy1eQVCNwsQLANPS33Els4ASa6DCpFCFjYEUVM/s1600-h/diagnostico.bmp"><img id="BLOGGER_PHOTO_ID_5425640468517148418" style="WIDTH: 320px; CURSOR: hand; HEIGHT: 256px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZhISf5DlvAVabhYsA_iJYLw1Ei_H21XJos1ysPJArr8G4wLz1ZHSDtFa67IOiJe9SQbxDbE7S6sj0qRuB99tsU1Y1n968dM1-_69-zJy1eQVCNwsQLANPS33Els4ASa6DCpFCFjYEUVM/s320/diagnostico.bmp" border="0" /></a><br /><div></div>shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-28270175924521560802010-01-11T16:14:00.001-08:002010-01-11T16:14:59.070-08:00DIAGNOSTICO ETIOLOGICO•Cultivo de Tayer Martin ( gonococo )<br />• Cultivo para hongos<br />• Inmunofluoresencia para Chlamidia.shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-50765691754036875432010-01-11T16:13:00.000-08:002010-01-11T16:14:10.341-08:00VAGINOSIS BACTERIANA•Vaginitis inespecífica , enfisematosa<br />• Leucorrea por H . Vaginalis<br /> Agente Causal : bacilo Gram casi cocoide, frecuencia 50 – 60 %<br /> CLINICA :<br />• Flujo blanco grisáceo<br />• Prurito leve<br />• Olor a pescado ( semen )shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-72572845207644210682010-01-11T16:12:00.000-08:002010-01-11T16:13:35.506-08:00<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgio2osjOhTlHNHQibhnkIxuKXwNNsbgt_0_mABe612uaM8J5D1xi8bMFbL5yWn7xV9pvUnAlVWMga-JatnR9RncWi_4cWcWvS35Y-etjzPdOXAHNtcElFmwtRhuHL8IRfFnRKGJdZu82Q/s1600-h/vaginosis+bacteriana.bmp"><img id="BLOGGER_PHOTO_ID_5425639594697671186" style="WIDTH: 320px; CURSOR: hand; HEIGHT: 298px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgio2osjOhTlHNHQibhnkIxuKXwNNsbgt_0_mABe612uaM8J5D1xi8bMFbL5yWn7xV9pvUnAlVWMga-JatnR9RncWi_4cWcWvS35Y-etjzPdOXAHNtcElFmwtRhuHL8IRfFnRKGJdZu82Q/s320/vaginosis+bacteriana.bmp" border="0" /></a><br /><div></div>shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-19963778837587116862010-01-11T16:11:00.001-08:002010-01-11T16:11:55.974-08:00DIAGNOSTICO•Prueba de las aminas : 1 gota de KOH al 10 %<br />• “Clue cells” o células blanco, son células vaginales con citólisis del citoplasma rodeadas por gardnerellas , en el frotis vaginal<br />• Cultivo bacteriológico .shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-88941638757999104802010-01-11T16:10:00.002-08:002010-01-11T16:11:18.531-08:00RIESGO DE VAGINOSIS BACTERIANA•EIP<br />• Infecciones postoperatorias después de histerectomía<br />• Citología anormal .<br /> MUJERES EMBARAZADAS :<br />• RPM<br />• APP<br />• Corioamnionitis<br />• Endometritis subsecuente a cesáreashirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-15927350235285626172010-01-11T16:10:00.001-08:002010-01-11T16:10:41.167-08:00TRATAMIENTO•Tinidazol : 2-4 gr en una o dos tomas ( fasdal, fasigyn susp 200 mg tinigrum , tab 1 gr )<br />• Metronidazol : 250 mg c/ 8 hrs ( acromona , amevan , etron , metronidaazol mk , tab 500mg, susp 250 mg , 125 mg )<br />• Metronidazol vaginal ( acromona , etron ): 1 tab/ noche<br />• Clindamicina ovulos ( CLUVAX , divanon , farmandina ) por 7 dias .f<br />•Duración del tto 7-10 dias ,por ser ITS parejashirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-8606098967584477722010-01-11T16:09:00.000-08:002010-01-11T16:10:09.888-08:00Vaginosis bacteriana•Mujeres Embarazadas:<br />•Metronidazol: VO 500 mg c/12h por 7 días, o<br />•Metronidazol: VO 250 mg c/8 horas por 7 días, o<br />•Clindamicina cap: VO 300 mg c/12h por 7 días.shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-26995090257960584152010-01-11T16:08:00.002-08:002010-01-11T16:09:32.806-08:00<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJKLQRaeXmnUolyrg6Nee9C8TS5_Axk49ORiTWfGQvRv57kKQc-XvUr6vkl9N5r7ud0lMWNtZhiMwj2SSWun2-pQz6PuTTNtqZ2Wj9d2iVh9BG7ncfxmz53jwIXOZh5p7_3QQiPTS9nU8/s1600-h/tratamiento.bmp"><img id="BLOGGER_PHOTO_ID_5425638748953661650" style="WIDTH: 320px; CURSOR: hand; HEIGHT: 264px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJKLQRaeXmnUolyrg6Nee9C8TS5_Axk49ORiTWfGQvRv57kKQc-XvUr6vkl9N5r7ud0lMWNtZhiMwj2SSWun2-pQz6PuTTNtqZ2Wj9d2iVh9BG7ncfxmz53jwIXOZh5p7_3QQiPTS9nU8/s320/tratamiento.bmp" border="0" /></a><br /><div></div>shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-23077103751073225712010-01-11T16:08:00.001-08:002010-01-11T16:08:26.515-08:00TRICHOMONAS VAGINALIS•Transmisión sexual : Trichomona vaginalis<br />• parásito anaerobio que genera hidrógeno para combinarse con O2 y crear un ambiente anaerobio.<br /> <br />• Tasa de transmisión alta 70 % ( 1 er contacto)shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-83675287341838430802010-01-11T16:07:00.001-08:002010-01-11T16:07:57.098-08:00TRICHOMONAS VAGINALISCLINICA :<br />• Leucorrea amarilla, espesa y espumosa<br />• Prurito intenso<br />• Eritema vaginal en manchas <br />• Colpitis macular ( cuello uterino en fresa )<br />• PH mayor a 5,0shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-88566770136986307052010-01-11T16:06:00.000-08:002010-01-11T16:07:12.688-08:00<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEikrfSZEeHFyOhYZmUn9zfLV8VmK8XmLMCK123GEIVLs2IzxuBqM9HLR4Z93LvgE_H_ga5xYdY3xOxVsHb2mFuzs6xItb7FElbcTCIojPIx0_JXUYfOxFIkret7MldqQOO2A5T5pjzncCQ/s1600-h/vaginosis+por+trichomonas.bmp"><img id="BLOGGER_PHOTO_ID_5425638157462488642" style="WIDTH: 320px; CURSOR: hand; HEIGHT: 298px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEikrfSZEeHFyOhYZmUn9zfLV8VmK8XmLMCK123GEIVLs2IzxuBqM9HLR4Z93LvgE_H_ga5xYdY3xOxVsHb2mFuzs6xItb7FElbcTCIojPIx0_JXUYfOxFIkret7MldqQOO2A5T5pjzncCQ/s320/vaginosis+por+trichomonas.bmp" border="0" /></a><br /><div></div>shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-66107455066647958362010-01-11T16:05:00.000-08:002010-01-11T16:06:20.975-08:00<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFx7L0di3c1CPyxmVNDw9dLrWd4Op3uWKFhPJj6JaA121ZfOwFkTJwuYOiESzi7dc9mJUhqx6Gy1s-LWfvKZYlqq4vFszJDh9ImaffA3rMYPiEneMGXaR385W5cu27m-bDjZRD13z-QMU/s1600-h/endocervicitis+por+trichomonas.bmp"><img id="BLOGGER_PHOTO_ID_5425637930055979618" style="WIDTH: 320px; CURSOR: hand; HEIGHT: 274px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFx7L0di3c1CPyxmVNDw9dLrWd4Op3uWKFhPJj6JaA121ZfOwFkTJwuYOiESzi7dc9mJUhqx6Gy1s-LWfvKZYlqq4vFszJDh9ImaffA3rMYPiEneMGXaR385W5cu27m-bDjZRD13z-QMU/s320/endocervicitis+por+trichomonas.bmp" border="0" /></a><br /><div></div>shirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0tag:blogger.com,1999:blog-148227728512732461.post-79645842580272745902010-01-11T16:04:00.000-08:002010-01-11T16:05:33.169-08:00DIAGNOSTICO•Visualización directa en el frotis húmedo ( 1 gota de suero fisiológico + 1 gota de secreción vaginal , entre lamina y laminilla , permite la visualización de la trichomona en un 85 %)<br />• Cultivo de trichomonashirley roxanitahttp://www.blogger.com/profile/07643105371288526954noreply@blogger.com0