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=== | ||
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Revision as of 15:59, 12 July 2012
For patient information, click here
Vaginal discharge | |
MedlinePlus | 003158 |
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WikiDoc Resources for Vaginal discharge |
Articles |
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Most recent articles on Vaginal discharge Most cited articles on Vaginal discharge |
Media |
Powerpoint slides on Vaginal discharge |
Evidence Based Medicine |
Cochrane Collaboration 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
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Guidelines / Policies / Govt |
US National Guidelines Clearinghouse on Vaginal discharge NICE Guidance on Vaginal discharge
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Books |
News |
Commentary |
Definitions |
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
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Healthcare Provider Resources |
Causes & Risk Factors for Vaginal discharge |
Continuing Medical Education (CME) |
International |
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Business |
Experimental / Informatics |
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)
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