Vaginal discharge: Difference between revisions
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== Differential Diagnosis of Causes of {{ | ===Complete Differential Diagnosis of the Causes of Vaginal discharge=== | ||
(In alphabetical order) | |||
{{MultiCol}} | |||
*[[Allergic vaginitis]] | |||
*[[Amoxicillin and Clavulanic Acid ]] | |||
*[[Atrophic Vaginitis]] | |||
*[[Bacterial Vaginosis]] | |||
*[[Butoconazole Vaginal Cream ]] | |||
*[[Candidiasis]] | |||
*[[Cervical cancer]] | |||
*[[Cervical polyp]] | |||
*[[Cervicitis]] | |||
*[[Chlamydia]] | |||
*[[Clotrimazole ]] | |||
*[[Colposcopy]] | |||
*[[Combined oral contraceptive pill]] | |||
*[[Endometrial cancer]] | |||
*[[Estradiol Topical ]] | |||
*[[Estradiol Transdermal ]] | |||
*[[Estrogen and Progestin (Oral Contraceptives) ]] | |||
*[[Estrogen Injection ]] | |||
*[[Estrogen Vaginal ]] | |||
*[[Etonogestrel and Ethinyl Estradiol Vaginal Ring ]] | |||
*[[Foreign body vaginitis]] | |||
*[[Glatiramer Injection ]] | |||
*[[Gonorrhea]] | |||
*[[Herpes simplex]] | |||
*[[HIV]] | *[[HIV]] | ||
*[[Hormone replacement therapy (trans)]] | |||
*[[Human Papillomavirus infections]] | |||
{{ColBreak}} | |||
*[[Leuprolide ]] | |||
*[[Lochia]] | |||
*[[Medroxyprogesterone Injection ]] | |||
*[[Menstrual cycle]] | |||
*[[Metronidazole Topical ]] | |||
*[[Miconazole ]] | |||
*[[Nafarelin ]] | |||
*[[Natalizumab injection ]] | |||
*[[Norelgestromin and ethinyl estradiol transdermal system ]] | |||
*[[Oxcarbazepine ]] | |||
*[[Pelvic inflammatory disease]] | |||
*[[Postnatal]] | |||
*[[Pregnancy]] | |||
*[[Salpingitis]] | |||
*[[Scabies]] | *[[Scabies]] | ||
*[[Syphilis]] | |||
* | |||
* | *[[Tamoxifen ]] | ||
*[[Terconazole Vaginal Cream, Vaginal Suppositories ]] | |||
*[[Trichomonas vaginalis]] | |||
*[[Trichomoniasis]] | |||
*[[Urethritis]] | |||
*[[Uterine sarcoma]] | |||
*[[Vaginal cancer]] | |||
*[[Vaginal trauma]] | |||
*[[Vaginitis]] | |||
*[[Vesicovaginal fistula]] | |||
*[[Vulvitis]] | |||
*[[Zoledronic Acid Injection ]] | |||
{{EndMultiCol}} | |||
== Treatment == | == Treatment == | ||
Revision as of 15:42, 12 July 2012
For patient information, click here
| Vaginal discharge | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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.
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 |
Complete Differential Diagnosis of the Causes of ...
(By organ system)
Complete Differential Diagnosis of the Causes of Vaginal discharge
(In alphabetical order)
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