Vaginal discharge: Difference between revisions
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== Overview == | == Overview == | ||
Vaginal discharge is a common patient complaint that is paired with [[anxiety]] regarding [[sexually transmitted diseases]]. If a STD is detected, a search for all other STDs should be done. Advise the infected patient to inform all sexual partners of their diagnosis. | Vaginal discharge is a common patient complaint that is paired with [[anxiety]] regarding [[sexually transmitted diseases]]. If a STD is detected, a search for all other STDs should be done. Advise the infected patient to inform all sexual partners of their diagnosis.Also there is normal vaginal discharge depends on periodic hormonal change. | ||
==Causes== | ==Causes== | ||
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* [[Chlamydia]] | * [[Chlamydia]] | ||
* [[Foreign body vaginitis]] | * [[Foreign body vaginitis]] | ||
* [[Gonorrhea]] | *[[Gonorrhea (patient information)|Gonorrhea]] | ||
* [[Herpes]] | * [[Herpes]] | ||
* [[Trichomoniasis]] | * [[Trichomoniasis]] | ||
Revision as of 03:55, 15 July 2020
For patient information, click here
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WikiDoc Resources for Vaginal discharge |
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Most recent articles on Vaginal discharge Most cited articles on Vaginal discharge |
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Powerpoint slides on Vaginal discharge |
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Evidence Based Medicine |
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Cochrane Collaboration on Vaginal discharge |
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Clinical Trials |
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Ongoing Trials on Vaginal discharge at Clinical Trials.gov Trial results on Vaginal discharge Clinical Trials on Vaginal discharge at Google
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Guidelines / Policies / Govt |
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US National Guidelines Clearinghouse on Vaginal discharge NICE Guidance on Vaginal discharge
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News |
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Commentary |
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Definitions |
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Patient Resources / Community |
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Patient resources on Vaginal discharge Discussion groups on Vaginal discharge Patient Handouts on Vaginal discharge Directions to Hospitals Treating Vaginal discharge Risk calculators and risk factors for Vaginal discharge
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Healthcare Provider Resources |
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Causes & Risk Factors for Vaginal discharge |
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Continuing Medical Education (CME) |
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International |
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Experimental / Informatics |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shankar Kumar, M.B.B.S. [2]
Synonyms and keywords: Discharge from the vagina
Overview
Vaginal discharge is a common patient complaint that is paired with anxiety regarding sexually transmitted diseases. If a STD is detected, a search for all other STDs should be done. Advise the infected patient to inform all sexual partners of their diagnosis.Also there is normal vaginal discharge depends on periodic hormonal change.
Causes
Common Causes
- Atrophic vaginitis
- Bacterial vaginosis
- Cervical cancer
- Chlamydia
- Foreign body vaginitis
- Gonorrhea
- Herpes
- Trichomoniasis
- Vaginal cancer
- Vaginal yeast infection
Causes by Organ System
Causes in Alphabetical Order
Laboratory Findings
Initial tests include:
Other Diagnostic Studies
| Type | pH | Discharge | Odor | Wet Mount |
| Trich | >4.5 | yellow-green, copious | present | motile, flagellated |
| BV | >4.5 | white-grey | fishy | clue cells |
| Candida | <4.5 | white, curd-like | none | pseudo-hyphae |
| GC | mucopurulent | varies | PMNs | |
| A.V. | thin,gray,watery | none | few epithelial cells |
Treatment
See most recent CDC guidelines for all STD's
Acute Pharmacotherapies
Bacterial Vaginosis
- Metronidazole single dose for 7 days
Candida and Chlamydia
Gonorrhea
- Oral ciprofloxacin or IM ceftriaxone
Trichomonas
- Metronidazole single dose for 7 days
- Intravaginal clotrimazole if pregnant or unable to use Metronidazole
References
Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs