Clue cells are seen in:
Correct Answer: Gardenella vaginitis
Description: Ans: A (Gardenella vaginits) Ref: Dm to gynae pgl56Explanation:GARDNERELLA VAGINOSISAlteration in normal vaginal floraDecrease in number of lactobacilli in vaginal discharge - lactobacilli reduce pH and release hydrogen peroxide toxic to other bacteria100 fold increase in anerobic bacteriaHemophilus vaginalis, Gardnerella, Mohi- 1 uncus and Mycoplasma horn inis--causeVaginal discharge without dischargeWhite , milky non-viscous discharge. pH of discharge more than 4.5Whiff Test - Fishy odour when vaginal discharge is mixed with 10% KOH - due to release of amino metabolites from various organismsPresence of Clue Cells - epithelial cells with granular cytoplasm caused by gram negative bacilli adhering on the surfaceWet smear, gram stain and culture are investigationsTreatment--Metronidazole 500mg bd for 7 days Ampicillin 500mg or cephalosporin 500mg bd for 7 days Tetracycline 500mg 4 times a day Doxycycline l00mg bdSulphafurazole Ig 4 times daily for 10-14 daysClindamycin 300mg daily for 7 daysClindamycin 2%cream locallyOrnidazole 500mg vaginal tablet for 7 daysLacteal is protein free acidifying lactate gel neutralises vaginal ph 5ml applied for 7 daysAMSEL CRITERIA for diagnosing Bacterial VagninosisThin, white, yellow, homogeneous dischargeClue cells on microscopypH of vaginal fluid >4.5Release of a fishy odor on adding alkali--10% potassium hydroxide (KOH) solution.At least three of the four criteria should be present for a confirmed diagnosis.
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now