A 25 year old woman attends the antenatal clinic for the first time at 34 weeks of gestation following 3 previous vaginal births. She booked for antenatal care 2 weeks earlier and her booking blood tests show that she is HIV positive with a viral load of 2500 copies / ml.
of the options were:
A. cART and viral load at 36 weeks
B. cART and elective CS at 38-39 week
Why you chose B? i think A is the correct?
Posted by
Farrukh G.
What difference would a viral load at 36 weeks make to your management?
Posted by
Mahmoud Abubakr Nasr N.
if < 50, she may go for VD?
Posted by
Farrukh G.
No, that recommendation is based on the condition that:
All women should have commenced cART by week 24 of pregnancy.
You cannot manage a woman who commences cART at 34 weeks in the same way.
BASHH question
Posted by
Katarzyna K.
Options for Questions 13-14
A
Reassure
B
Oral metronidazole
C
Oral erythromycin
D
Oral clindamycin
E
Oral doxycycline
F
Oral azithromycin
G
High vaginal swab + oral metronidazole
H
High vaginal swab + oral clindamycin
I
Urethral swab + oral metronidazole
J
Ectocervical swab + oral metronidazole
K
Vaginal clotrimazole pessary
L
Low vaginal swab + vaginal clotrimazole pessary
M
Ectocervical swab + vaginal clotrimazole pessary
N
Oral acyclovir
O
Viral culture swab + oral aciclovir
Instructions: For each scenario below, choose the single most appropriate management from the above list of options. Each option may be used once, more than once, or not at all.
Explanation
Question 13
A 32 year old woman has been referred to the gynaecology clinic because she wishes to be sterilised. In the clinic, she complains of a white frothy and offensive vaginal discharge which is not itchy.
Question 14
A 23 year old woman with type 1 diabetes attends the family planning clinic to discuss contraception. She also complains of a white non-offensive itchy vaginal discharge but no other symptoms.
Could you please advice on answers to these questions?
Why in question 13 are we not taking HVS for microscopy/culture to confirm diagnosis?
Question 14 - the guideline on BASHH candida suggests that HVS should be taken
BASHH question
Posted by
Katarzyna K.
Options for Questions 13-14
A
Reassure
B
Oral metronidazole
C
Oral erythromycin
D
Oral clindamycin
E
Oral doxycycline
F
Oral azithromycin
G
High vaginal swab + oral metronidazole
H
High vaginal swab + oral clindamycin
I
Urethral swab + oral metronidazole
J
Ectocervical swab + oral metronidazole
K
Vaginal clotrimazole pessary
L
Low vaginal swab + vaginal clotrimazole pessary
M
Ectocervical swab + vaginal clotrimazole pessary
N
Oral acyclovir
O
Viral culture swab + oral aciclovir
Instructions: For each scenario below, choose the single most appropriate management from the above list of options. Each option may be used once, more than once, or not at all.
Explanation
Question 13
A 32 year old woman has been referred to the gynaecology clinic because she wishes to be sterilised. In the clinic, she complains of a white frothy and offensive vaginal discharge which is not itchy.
Question 14
A 23 year old woman with type 1 diabetes attends the family planning clinic to discuss contraception. She also complains of a white non-offensive itchy vaginal discharge but no other symptoms.
Could you please advice on answers to these questions?
Why in question 13 are we not taking HVS for microscopy/culture to confirm diagnosis?
Question 14 - the guideline on BASHH candida suggests that HVS should be taken
