Urinalysis and Body Fluids 6th Edition by Majorie DiLorenzo, Susan Strasinger

Exercise 7

During a routine visit with the gynecologist, a 60-year-old woman complained of vaginal dryness and soreness. During the examination, the health-care provider noted erythema of the vaginal mucosa. The pH of the vaginal secretions was 6.0. The KOH and amine (Whiff) tests were negative. The microscopic examination revealed epithelial cells, basal cells, decreased lactobacilli, and increased gram-positive cocci and gram-negative rods.

a. What is the name of this condition?

b. Explain how this condition can occur.

c. What is the treatment for this condition?

Step 1 of 3

a.

DIV-Desquamative inflammatory vaginitis:

It is a syndrome characterized by abundant infectious vaginal erythema, dyspareunia, and vaginal discharge.

• -Hemolytic positive streptococci bacteria can be cultured in patients with DIV

• If this syndrome exists, vagina will have >4.5 pH, and amine test will be negative

• WBCs(White Blood Cells), basal cells, occasionally parabasal cells, squamous epithelial cells, lactobacilli are replaced with gram positive cocci, and RBCs (Red Blood Cells) are seen in microscopic examination