Vaginal Discharge Wet Mount
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🩺 ตกขาวในข้อสอบ NL ต้องรู้อะไรบ้าง? ผู้ป่วยมาด้วย ตกขาวผิดปกติ” ในข้อสอบ NL ให้ดู 4 อย่างนีั 1. สี / ลักษณะ 2. กลิ่น 3. คัน / แสบ 4. pH 🔹 1) Bacterial Vaginosis (BV) Organism: Gardnerella vaginalis ลักษณะเด่น • ตกขาวสีขาว–เทา • กลิ่นคาวปลา (fishy odor) ชัดมาก โดยเฉพาะหลังมีเพศสัมพันธ์ • ไม่ค่อยคัน • pH > 4.5 การตรวจ • Wet mount → clue cells • Positive whiff test Treatment • Metronidazole (oral หรือ vaginal) • หรือ Clindamycin 📌 ไม่ใช่ STD แต่สัมพันธ์กับ sexual activity ⸻ 🔹 2) Vulvovaginal Ca
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