Vaginitis here physical examination: Difference between revisions
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Latest revision as of 15:14, 16 June 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Exam
The color of the discharge may be predictive of the causative agent. (ICD-10 codes for causative agents listed below.)
- Candida Vaginitis Candidiasis usually causes a watery, white, cottage cheese like vaginal discharge. The discharge is irritating to the vagina and the surrounding skin.(B37)
- Atrophic vaginitis (or "Senile Vaginitis") usually causes scant vaginal discharge with no odour, dry vagina and painful intercourse. These symptoms are usually due to decreased hormones usually occurring during and after menopause.(N95.2)
- Bacterial Vaginitis Gardnerella usually causes a discharge with a fish-like odour. It is associated with itching and irritation, but not pain during intercourse.(B96.3)
- Trichonomas Vaginitis Trichomonas vaginalis can cause a profuse discharge with a fish-like odour, pain upon urination, painful intercourse, and inflammation of the external genitals.(A59.0)
- Herpes usually occurs as water blisters on the genital region, about one week after infection. There is tenderness, swollen glands, and fever. The water blisters are extremely painful and heal in about three weeks. However, herpes is usually an external infection and does not fall under the category of vaginitis. (A60.0)