Internal Medicine

0521779407-22 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:23

1506 Uveitis Vaginitis

follow-up

During Treatment

■After 2–4 d after initiation of treatment; at 1- to 2-wk intervals after

start of therapeutic response; less frequently thereafter

Routine

■W/ return of symptoms or q 6–12 mo if asymptomatic & inactive

complications and prognosis

Complications

Uveitis is a potentially blinding condition that can result in serious

complications in the eyes.

■Posterior subcapsular cataract: may require surgery

■Cystoid macular edema: if permanent, may decrease visual acuity

■Ocular hypertension or glaucoma: may require medical/surgical

treatment

Prognosis

■Very good if not associated w/ underlying systemic disease & if each

episode of intraocular inflammation promptly treated

VAGINITIS

SARAH STAEDKE, MD

history & physical

History

■Vaginitis is an infection or inflammation of the vagina

■Three syndromes are described: bacterial vaginosis (BV) caused by

overgrowth of normal vaginal flora byGardnerella vaginalisand

other anaerobes; vulvovaginal candidiasis (VVC) primarily caused

byC. albicans, less commonly byC. glabrataandC. tropicalis;tri-

chomoniasis, caused by the protozoanTrichomonas vaginalis

■Risk factors include sexual activity (trichomoniasis is considered a

sexually transmitted disease; BV is associated with sexual activity,

but is not an STD); diabetes, antibiotics, and corticosteroids; VVC:

physical agents such as synthetic undergarments and clothing, soaps

and detergents; hormonal factors such as pregnancy and estrogen

use