Vaginal discharge: Difference between revisions

	WikiDoc Resources for Vaginal discharge
Articles
Most recent articles on Vaginal discharge Most cited articles on Vaginal discharge Review articles on Vaginal discharge Articles on Vaginal discharge in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Vaginal discharge Images of Vaginal discharge Photos of Vaginal discharge Podcasts & MP3s on Vaginal discharge Videos on Vaginal discharge
Evidence Based Medicine
Cochrane Collaboration on Vaginal discharge Bandolier on Vaginal discharge TRIP on Vaginal discharge
Clinical Trials
Ongoing Trials on Vaginal discharge at Clinical Trials.gov Trial results on Vaginal discharge Clinical Trials on Vaginal discharge at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Vaginal discharge NICE Guidance on Vaginal discharge NHS PRODIGY Guidance FDA on Vaginal discharge CDC on Vaginal discharge
Books
Books on Vaginal discharge
News
Vaginal discharge in the news Be alerted to news on Vaginal discharge News trends on Vaginal discharge
Commentary
Blogs on Vaginal discharge
Definitions
Definitions of Vaginal discharge
Patient Resources / Community
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
Healthcare Provider Resources
Symptoms of Vaginal discharge Causes & Risk Factors for Vaginal discharge Diagnostic studies for Vaginal discharge Treatment of Vaginal discharge
Continuing Medical Education (CME)
CME Programs on Vaginal discharge
International
Vaginal discharge en Espanol Vaginal discharge en Francais
Business
Vaginal discharge in the Marketplace Patents on Vaginal discharge
Experimental / Informatics
List of terms related to Vaginal discharge

VisualWikitext

Revision as of 08:27, 22 May 2021

For patient information, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shankar Kumar, M.B.B.S. [2] Samah Obaiah Rinky Agnes Botleroo, M.B.B.S.

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^[1]

Causes

Common Causes

Atrophic vaginitis or senile vaginitis, it as a result of estrogen deficiency lead to vaginal dryness, itching, irritation, discharge, and dyspareunia^[2]
Bacterial vaginosisis mostally happen during the reproductive age of women characterized by a shift in the vaginal flora from the dominant Lactobacillus to a polymicrobial flora^[3]
Cervical cancer^[4]
Chlamydia,sexually transmitted infections.
Foreign body vaginitis
Gonorrhea,sexually transmitted infections^[4]
Herpes^[5]
Trichomoniasis,a parasitic infection typically contracted and caused by having unprotected sex^[6]
Vaginal cancer
Vaginal yeast infection
Diabetes
Drug side effect as antibiotic or steroid use as, Amoxicillin and Clavulanic Acid , Butoconazole Vaginal Cream , Clotrimazole , Combined oral contraceptive pill, Estradiol Topical , Estradiol Transdermal , Estrogen and Progestin (Oral Contraceptives) ,Estrogen Injection , Estrogen Vaginal , Etonogestrel and Ethinyl Estradiol Vaginal Ring , Glatiramer Injection ,Hormone replacement therapy (trans), Letrozole, Leuprolide , Medroxyprogesterone Injection , Metronidazole Topical ,Miconazole , Nafarelin , Natalizumab injection , Norelgestromin and ethinyl estradiol transdermal system , Ospemifene, Oxcarbazepine , Pramipexole, Progesterone, Tamoxifen , Terconazole Vaginal Cream, Vaginal Suppositories , Toremifene, Zoledronic Acid Injection

Classification

Normal vaginal discharge as in Neonatal, Pediatric, Puberty, Menstrual cycle^[7], Pregnancy, and Menopause. -Abnormal vaginal discharge as

Bacterial vaginosis

Vaginal yeast infection

Sexually transmitted diseases^[4]

vaginal cancer

cervical cancer

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

↑ Spence D, Melville C (2007). "Vaginal discharge". BMJ. 335 (7630): 1147–51. doi:10.1136/bmj.39378.633287.80. PMC 2099568. PMID https://www.ncbi.nlm.nih.gov/pubmed/18048541 Check |pmid= value (help).
↑ Hainer BL, Gibson MV (2011). "Vaginitis". Am Fam Physician. 83 (7): 807–15. PMID 21524046.
↑ Cettl L, Dvorak J, Felkel H, Feuereisl R (1979). "Results of simulation of non-homogeneous ventilatory mechanics for a patient-computer arrangement". Int J Biomed Comput. 10 (1): 67–74. doi:10.1016/0020-7101(79)90042-4. PMID http://www.ncbi.nlm.nih.gov/pmc/articles/pmc478688 Check |pmid= value (help).
↑ ^4.0 ^4.1 ^4.2 Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMID https://doi.org/10.1016/j.ogrm.2016.08.002 Check |pmid= value (help).
↑ Wathne B, Holst E, Hovelius B, Mårdh PA (1994). "Vaginal discharge--comparison of clinical, laboratory and microbiological findings". Acta Obstet Gynecol Scand. 73 (10): 802–8. doi:10.3109/00016349409072509. PMID https://pubmed.ncbi.nlm.nih.gov/7817733 Check |pmid= value (help).
↑ Spence D, Melville C (2007). "Vaginal discharge". BMJ. 335 (7630): 1147–51. doi:10.1136/bmj.39378.633287.80. PMC 2099568. PMID https://pubmed.ncbi.nlm.nih.gov/18048541 Check |pmid= value (help).
↑ Feingold KR, Anawalt B, Boyce A, Chrousos G, Dungan K, Grossman A; et al. (2000). "Endotext". PMID https://pubmed.ncbi.nlm.nih.gov/25905282 Check |pmid= value (help).

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

Template:WikiDoc Sources

[pmidhttps://www.ncbi.nlm.nih.gov/pubmed/18048541-1] Spence D, Melville C (2007). "Vaginal discharge". BMJ. 335 (7630): 1147–51. doi:10.1136/bmj.39378.633287.80. PMC 2099568. PMID https://www.ncbi.nlm.nih.gov/pubmed/18048541 Check |pmid= value (help).

[pmid21524046-2] Hainer BL, Gibson MV (2011). "Vaginitis". Am Fam Physician. 83 (7): 807–15. PMID 21524046.

[pmidhttp://www.ncbi.nlm.nih.gov/pmc/articles/pmc478688-3] Cettl L, Dvorak J, Felkel H, Feuereisl R (1979). "Results of simulation of non-homogeneous ventilatory mechanics for a patient-computer arrangement". Int J Biomed Comput. 10 (1): 67–74. doi:10.1016/0020-7101(79)90042-4. PMID http://www.ncbi.nlm.nih.gov/pmc/articles/pmc478688 Check |pmid= value (help).

[pmidhttps://doi.org/10.1016/j.ogrm.2016.08.002-4] 4.0 ^4.1 ^4.2 Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMID https://doi.org/10.1016/j.ogrm.2016.08.002 Check |pmid= value (help).

[pmidhttps://pubmed.ncbi.nlm.nih.gov/7817733-5] Wathne B, Holst E, Hovelius B, Mårdh PA (1994). "Vaginal discharge--comparison of clinical, laboratory and microbiological findings". Acta Obstet Gynecol Scand. 73 (10): 802–8. doi:10.3109/00016349409072509. PMID https://pubmed.ncbi.nlm.nih.gov/7817733 Check |pmid= value (help).

[pmidhttps://pubmed.ncbi.nlm.nih.gov/18048541-6] Spence D, Melville C (2007). "Vaginal discharge". BMJ. 335 (7630): 1147–51. doi:10.1136/bmj.39378.633287.80. PMC 2099568. PMID https://pubmed.ncbi.nlm.nih.gov/18048541 Check |pmid= value (help).

[pmidhttps://pubmed.ncbi.nlm.nih.gov/25905282-7] Feingold KR, Anawalt B, Boyce A, Chrousos G, Dungan K, Grossman A; et al. (2000). "Endotext". PMID https://pubmed.ncbi.nlm.nih.gov/25905282 Check |pmid= value (help).

[1]

[2]

[3]

[4]

[5]

[6]

[7]

@@ Line 4: / Line 4: @@
 {{SI}}
-{{CMG}};  {{AE}} [[User: Shankar Kumar|Shankar Kumar, M.B.B.S.]] [mailto:kumarshankar@wikidoc.org] [[Samah Obaiah]]
+{{CMG}};  {{AE}} [[User: Shankar Kumar|Shankar Kumar, M.B.B.S.]] [mailto:kumarshankar@wikidoc.org] [[Samah Obaiah]]{{RAB}}
 {{SK}} Discharge from the vagina

v t e Symptoms and signs: circulatory (R00–R03, 785)
Cardiovascular	Template:Navbox subgroup
Myeloid/blood	Template:Navbox subgroup

v t e Symptoms and signs: respiratory system (R04–R07, 786)
Hemorrhage	Epistaxis Hemoptysis
Abnormalities of breathing	Respiratory sounds Stridor Wheeze Crackles Rhonchi Hamman's sign Apnea Dyspnea Hyperventilation/Hypoventilation Hyperpnea/Tachypnea/Hypopnea/Bradypnea Orthopnea/Platypnea Trepopnea Biot's respiration Cheyne-Stokes respiration Kussmaul breathing Hiccup Mouth breathing/Snoring Breath-holding
Other	Asphyxia Cough Pleurisy Sputum Respiratory arrest Hypercapnia/Hypocapnia Pectoriloquy: Whispered pectoriloquy Egophony Bronchophony Pleural friction rub Fremitus Silhouette sign
Chest, general	Chest pain Precordial catch syndrome

v t e Symptoms and signs: digestive system and abdomen (R10–R19, 787,789)
GI tract	Template:Navbox subgroup
Accessory	Hepatosplenomegaly/Hepatomegaly Jaundice
Abdominopelvic	Ascites
Abdominal – general	Abdominal pain (Acute abdomen, Colic, Baby colic) Splenomegaly Abdominal guarding · Abdominal mass · Rebound tenderness Shifting dullness · Bulging flanks · Puddle sign · Fluid wave test

v t e Symptoms and signs: Symptoms concerning nutrition, metabolism and development (R62–R64, 783)
Ingestion/Weight	decrease: Anorexia • Weight loss/Cachexia/Underweight increase: Polyphagia • Polydipsia • Orexigenia • Weight gain
Growth	Delayed milestone • Failure to thrive • Short stature (e.g., Idiopathic)