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What is vulvovaginal candidiasis (VVC) It is a yeast infection of the vagina primarily caused by Candida albicans because of a change in the vaginal flora Immunosuppression (corticosteroids, AIDS) Changes in normal vaginal flora (antibiotics) Hormonal changes (pregnancy, menstruation, higher dose estrogen OCP) Intrauterine devices and vaginal sponges Diabetes mellitus What key symptoms and signs distinguish candidiasis from other causes of infectious vaginitis What are other conditions that must be considered in the differential diagnosis What is the pH of the vagina in patients with VVC How would you definitively diagnose vaginal candidiasis Intense vulvovaginal pruritis, soreness, vulvar mucosal erythema and edema, and vaginal discharge that resembles white cottage cheese Hypersensitivity, allergic or chemical reactions, and contact dermatitis Normal pH (4 45) Microscopic evaluation of a wet saline or KOH prep of vaginal fluid reveals hyphae, pseudohyphae, or budding yeast ( spaghetti and meatballs ) Either oral fluconazole (single dose in nonpregnant women) or topical or intravaginal antifungal drugs

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= (p.BasePriority >= 8 && p.BasePriority <= 12);

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(3 7 days) About 1% hydrocortisone may be used to relieve external irritative symptoms When is oral fluconazole contraindicated During pregnancy A 7-day course of topical antifungal therapy is recommended for pregnant patients No Candidiasis is not typically a sexually transmitted disease

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What is trichomoniasis A sexually transmitted vaginal infection caused by the flagellated protozoan, T vaginalis There is a strong association with BV Malodorous, purulent, greenish, frothy, profuse watery discharge; vulvovaginal erythema and irritation, dyspareunia, dysuria; punctate hemorrhages on the cervix ( strawberry cervix ) pH of vaginal secretions >50 Microscopic examination of a wet saline prep of vaginal fluid reveals motile trichomonads What are some complications of trichomoniasis Increased HIV transmission; increased risk of PID; preterm delivery; premature rupture of membranes; low birth weight infants Oral metronidazole Pregnant patients should receive oral metronidazole (category B drug) All sexual partners should be treated What other tests should be considered Tests for N gonorrhoeae, C trachomatis, syphilis, HIV

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For reasons of laziness, we re determining the order by the index of the entries in the ComboBox b. We re also doing a null check because the filter might end up getting called before the ComboBox has come into being. Next, we have a switch statement that determines whether the entry is appropriate for our current filter. Priority isn t entirely reliable, so we re using ranges (and, in fact, the ranges aren t reliable either items with different priorities might have the same base priority value). This isn t a book about processes, though, so we aren t going to worry too much about the workings of the Process object. The only thing left for us to do is to make the list get filtered again whenever the user changes the value in the priority ComboBox, but there s no refresh method on the CollectionListView. Instead, we have to make a change to the CollectionListView to convince it that it needs to change. Fortunately, we already have a tailor-made method for doing just that SetNewSortOrder(). We can put a call into that method from the SelectionChanged handler for the priority combo.

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