Vaginal discharge: Difference between revisions
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Revision as of 14:02, 13 July 2012
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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.
Complete Differential Diagnosis of the Causes of Vaginal discharge
(By organ system)
Complete Differential Diagnosis of the Causes of Vaginal discharge
(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