Vaginal discharge: Difference between revisions

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===Complete Differential Diagnosis of the Causes of ...===
===Complete Differential Diagnosis of the Causes of Vaginal discharge===
(By organ system)
(By organ system)
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Revision as of 15:59, 12 July 2012

For patient information, click here

Vaginal discharge
MedlinePlus 003158

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

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 Vaginal discharge

(By organ system)

Cardiovascular No underlying causes
Chemical / poisoning No underlying causes
Dermatologic Scabies
Drug Side Effect 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), Leuprolide , Medroxyprogesterone Injection , Metronidazole Topical , Miconazole , Nafarelin , Natalizumab injection , Norelgestromin and ethinyl estradiol transdermal system , Oxcarbazepine , Tamoxifen , Terconazole Vaginal Cream, Vaginal Suppositories , Zoledronic Acid Injection
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic Colposcopy
Infectious Disease Pelvic inflammatory disease, Urethritis, Cervicitis, Vaginitis, Vulvitis

Bacteria: Bacterial Vaginosis, Chlamydia, Gonorrhea, Syphilis

Viral: Herpes simplex, HIV, Human Papillomavirus infections

Fungal: Candidiasis

Parasitic: Trichomonas vaginalis, Trichomoniasis

Musculoskeletal / Ortho No underlying causes
Neurologic No underlying causes
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic Lochia, Menstrual cycle, Postnatal, Pregnancy
Oncologic Cervical cancer, Endometrial cancer, Uterine sarcoma, Vaginal cancer
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy Allergic vaginitis
Sexual Atrophic Vaginitis, Cervical cancer, Cervical polyp, Cervicitis, Endometrial cancer, Foreign body vaginitis, Salpingitis, Uterine sarcoma, Vaginal cancer, Vaginitis, Vesicovaginal fistula, Vulvitis, Colposcopy, Pelvic inflammatory disease, Allergic vaginitis, Vaginal trauma, Bacterial Vaginosis, Candidiasis
Trauma Vaginal trauma
Urologic No underlying causes
Dental No underlying causes
Miscellaneous No underlying causes

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

Candida and Chlamydia

Gonorrhea

Trichomonas

References

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