Re: Unresolved cervicitis

From: rbraun@indyunix.iupui.edu
Mon Jun 30 18:21:10 1997


check for herpes.

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R. Daniel Braun, MD FACOG                "Money will buy you a fine dog
Clinical Professor  OB/GYN                but only love will make it
Indiana University School of Medicine     wag its tail"
Indianapolis, IN                                  Richard "Kinky"
OBGYN.net, International Rep. U.S.                        Friedman
                                   Kinky Friedman for President
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On Mon, 30 Jun 1997, Susan Mcniel wrote:

> 29 yo woman presents with "months" of fierce vulvar pruritis, occ. > dyspareunia. Has seen approx 3 providers including obgyn, FP PA, FP. Has > used multiple treatments of the "zoles" (both prescribed and self Rx), > doxy (both she and her husband have been treated), now on clindamycin > cream intravag. On Loestrin 1.5/30 X 7 years. Last PAP 3/97 - normal, > no abnormal PAP hx. 1 1/2 yrs ago had resistant cystitis, saw > urologist, had VCUG which was nl. but was placed on prophylactic antibx > (Macrodantin? she did not remember) which she stopped taking 2 mos ago. > On exam labia is inflamed and dry, vag walls dry,deep pink. Cx c ectopy & > covered c adherent thick white DC. No CMT. Ut: NSSC, NT. Nml adnexa. > Wet mt- neg X3, rare bacteria, copious WBC. Neg CT, GC. Couple of > thoughts: > 1. Cytolytic vaginitis > 2. High progestational OC is related to cervicitis, so change > to less progestational OC. > 3. Mucopurulent DC prob due to ectopy and refer for cryo. (I am referring > but would like input from this group-what would you do?) > 4. Other? > TIA > Susan McNiel, MN, ARNP >





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