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{{SI}}
{{SI}}
{{CMG}};  '''Associate Editor(s)-in-Chief:''' [[User: Shankar Kumar |Shankar Kumar, M.B.B.S.]] [mailto:kumarshankar@wikidoc.org]]
{{CMG}};  '''Associate Editor(s)-in-Chief:''' [[User: Shankar Kumar|Shankar Kumar, M.B.B.S.]] [mailto:kumarshankar@wikidoc.org]]


== Overview ==


==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.
'''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.


===Common causes of Vaginal discharge===
=== Common causes of Vaginal discharge ===


*[[Bacterial vaginosis]]
* [[Bacterial vaginosis]]


*[[Vaginal yeast infection]]
* [[Vaginal yeast infection]]


*[[Trichomoniasis]]
* [[Trichomoniasis]]


*[[Chlamydia]]
* [[Chlamydia]]


*[[Gonorrhea]]
* [[Gonorrhea]]


*[[Herpes]]
* [[Herpes]]


*[[Foreign body vaginitis]]
* [[Foreign body vaginitis]]


*[[Atrophic vaginitis]]
* [[Atrophic vaginitis]]


*[[cervical cancer]]
* [[cervical cancer]]


*[[Vaginal cancer]]
* [[Vaginal cancer]]


=== Complete Differential Diagnosis of the Causes of Vaginal discharge ===


(By organ system)


===Complete Differential Diagnosis of the Causes of Vaginal discharge===
{| style="width:80%; height:100px" border="1"
(By organ system)
| style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
{|style="width:80%; height:100px" border="1"
| style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
| '''Chemical / poisoning'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Dermatologic'''
| '''Dermatologic'''
|bgcolor="Beige"| [[Scabies]]
| bgcolor="Beige"| [[Scabies]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[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 ]]
| bgcolor="Beige"| [[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 ]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-  
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-  
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Environmental'''
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| [[Colposcopy]]
| bgcolor="Beige"| [[Colposcopy]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[Pelvic inflammatory disease]], [[Urethritis]], [[Cervicitis]], [[Vaginitis]], [[Vulvitis]]
| bgcolor="Beige"| [[Pelvic inflammatory disease]], [[Urethritis]], [[Cervicitis]], [[Vaginitis]], [[Vulvitis]]


<u>'''Bacteria'''</u>:
<u>'''Bacteria'''</u>:
Line 109: Line 109:
[[Trichomonas vaginalis]], [[Trichomoniasis]]
[[Trichomonas vaginalis]], [[Trichomoniasis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| [[Lochia]], [[Menstrual cycle]], [[Postnatal]], [[Pregnancy]]
| bgcolor="Beige"| [[Lochia]], [[Menstrual cycle]], [[Postnatal]], [[Pregnancy]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Cervical cancer]], [[Endometrial cancer]], [[Uterine sarcoma]], [[Vaginal cancer]]
| bgcolor="Beige"| [[Cervical cancer]], [[Endometrial cancer]], [[Uterine sarcoma]], [[Vaginal cancer]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Opthalmologic'''
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Overdose / Toxicity'''
| '''Overdose / Toxicity'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Psychiatric'''
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
| '''Renal / Electrolyte'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| [[Allergic vaginitis]]
| bgcolor="Beige"| [[Allergic vaginitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Sexual'''
| '''Sexual'''
|bgcolor="Beige"| [[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]]
| bgcolor="Beige"| [[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]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| [[Vaginal trauma]]  
| bgcolor="Beige"| [[Vaginal trauma]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Urologic'''
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Dental'''
| '''Dental'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige"| No underlying causes
|-
|-
|}
|}
=== Complete Differential Diagnosis of the Causes of Vaginal discharge ===


===Complete Differential Diagnosis of the Causes of Vaginal discharge===
(In alphabetical order)
(In alphabetical order)
{{MultiCol}}
{{MultiCol}}
*[[Allergic vaginitis]]


*[[Amoxicillin and Clavulanic Acid ]]
* [[Allergic vaginitis]]


*[[Atrophic Vaginitis]]
* [[Amoxicillin and Clavulanic Acid ]]


*[[Bacterial Vaginosis]]
* [[Atrophic Vaginitis]]


*[[Butoconazole Vaginal Cream ]]
* [[Bacterial Vaginosis]]


*[[Candidiasis]]
* [[Butoconazole Vaginal Cream ]]


*[[Cervical cancer]]
* [[Candidiasis]]


*[[Cervical polyp]]
* [[Cervical cancer]]


*[[Cervicitis]]
* [[Cervical polyp]]


*[[Chlamydia]]
* [[Cervicitis]]


*[[Clotrimazole ]]
* [[Chlamydia]]


*[[Colposcopy]]
* [[Clotrimazole ]]


*[[Combined oral contraceptive pill]]
* [[Colposcopy]]


*[[Endometrial cancer]]
* [[Combined oral contraceptive pill]]


*[[Estradiol Topical ]]
* [[Endometrial cancer]]


*[[Estradiol Transdermal ]]
* [[Estradiol Topical ]]


*[[Estrogen and Progestin (Oral Contraceptives) ]]
* [[Estradiol Transdermal ]]


*[[Estrogen Injection ]]
* [[Estrogen and Progestin (Oral Contraceptives) ]]


*[[Estrogen Vaginal ]]
* [[Estrogen Injection ]]


*[[Etonogestrel and Ethinyl Estradiol Vaginal Ring ]]
* [[Estrogen Vaginal ]]


*[[Foreign body vaginitis]]
* [[Etonogestrel and Ethinyl Estradiol Vaginal Ring ]]


*[[Glatiramer Injection ]]
* [[Foreign body vaginitis]]


*[[Gonorrhea]]
* [[Glatiramer Injection ]]


*[[Herpes simplex]]
* [[Gonorrhea]]


*[[HIV]]
* [[Herpes simplex]]


*[[Hormone replacement therapy (trans)]]
* [[HIV]]


*[[Human Papillomavirus infections]]
* [[Hormone replacement therapy (trans)]]
 
* [[Human Papillomavirus infections]]


{{ColBreak}}
{{ColBreak}}


*[[Leuprolide ]]
* [[Leuprolide ]]


*[[Lochia]]
* [[Lochia]]


*[[Medroxyprogesterone Injection ]]
* [[Medroxyprogesterone Injection ]]


*[[Menstrual cycle]]
* [[Menstrual cycle]]


*[[Metronidazole Topical ]]
* [[Metronidazole Topical ]]


*[[Miconazole ]]
* [[Miconazole ]]


*[[Nafarelin ]]
* [[Nafarelin ]]


*[[Natalizumab injection ]]
* [[Natalizumab injection ]]


*[[Norelgestromin and ethinyl estradiol transdermal system ]]
* [[Norelgestromin and ethinyl estradiol transdermal system ]]


*[[Oxcarbazepine ]]
* [[Oxcarbazepine ]]


*[[Pelvic inflammatory disease]]
* [[Pelvic inflammatory disease]]


*[[Postnatal]]
* [[Postnatal]]


*[[Pregnancy]]
* [[Pregnancy]]


*[[Salpingitis]]
* [[Salpingitis]]


*[[Scabies]]
* [[Scabies]]


*[[Syphilis]]
* [[Syphilis]]


*[[Tamoxifen ]]
* [[Tamoxifen ]]


*[[Terconazole Vaginal Cream, Vaginal Suppositories ]]
* [[Terconazole Vaginal Cream, Vaginal Suppositories ]]


*[[Trichomonas vaginalis]]
* [[Trichomonas vaginalis]]


*[[Trichomoniasis]]
* [[Trichomoniasis]]


*[[Urethritis]]
* [[Urethritis]]


*[[Uterine sarcoma]]
* [[Uterine sarcoma]]


*[[Vaginal cancer]]
* [[Vaginal cancer]]


*[[Vaginal trauma]]
* [[Vaginal trauma]]


*[[Vaginitis]]
* [[Vaginitis]]


*[[Vesicovaginal fistula]]
* [[Vesicovaginal fistula]]


*[[Vulvitis]]
* [[Vulvitis]]


*[[Zoledronic Acid Injection ]]
* [[Zoledronic Acid Injection ]]


{{EndMultiCol}}
{{EndMultiCol}}


== Laboratory Findings ==  
== Laboratory Findings ==


Initial tests include:
Initial tests include:
*[[CBC]]
 
*[[urinalysis]]
* [[CBC]]
*[[urine]] culture
* [[urinalysis]]
*[[beta-hCG]]
* [[urine]] culture
*[[gonorrhea]] culture
* [[beta-hCG]]
*[[chlamydia]] culture  
* [[gonorrhea]] culture
* [[chlamydia]] culture


=== Other Diagnostic Studies ===
=== Other Diagnostic Studies ===


{| style="background:silver; color:black"
{| style="background:silver; color:black"
|-  
|-
| Type
| Type
| pH
| pH
Line 317: Line 320:
| present
| present
| motile, flagellated
| motile, flagellated
|- style="background:silver; color:black"  
|- style="background:silver; color:black"
| BV
| BV
| >4.5
| >4.5
Line 323: Line 326:
| fishy
| fishy
| clue cells
| clue cells
|- style="background:silver; color:black"  
|- style="background:silver; color:black"
| Candida
| Candida
| <4.5
| <4.5
Line 331: Line 334:
|- style="background:silver; color:black"
|- style="background:silver; color:black"
| GC
| GC
|  
|
| mucopurulent
| mucopurulent
| varies
| varies
Line 337: Line 340:
|- style="background:silver; color:black"
|- style="background:silver; color:black"
| A.V.
| A.V.
|  
|
| thin,gray,watery
| thin,gray,watery
| none
| none
Line 347: Line 350:
'''See most recent CDC guidelines for all STD's'''
'''See most recent CDC guidelines for all STD's'''


=== Acute Pharmacotherapies ===  
=== Acute Pharmacotherapies ===


====Bacterial Vaginosis====
==== Bacterial Vaginosis ====


*[[Metronidazole]] single dose for 7 days
* [[Metronidazole]] single dose for 7 days


====[[Candida]] and [[Chlamydia]]====
==== [[Candida]] and [[Chlamydia]] ====


*[[Azithromycin]]
* [[Azithromycin]]
*[[doxycycline]]
* [[doxycycline]]


====Gonorrhea====
==== Gonorrhea ====
*Oral [[ciprofloxacin]] or IM [[ceftriaxone]]


====Trichomonas====
* Oral [[ciprofloxacin]] or IM [[ceftriaxone]]


*[[Metronidazole]] single dose for 7 days
==== Trichomonas ====
*Intravaginal [[clotrimazole]] if pregnant or unable to use [[Metronidazole]]
 
* [[Metronidazole]] single dose for 7 days
* Intravaginal [[clotrimazole]] if pregnant or unable to use [[Metronidazole]]


== References ==
== References ==
{{Reflist|2}}
{{Reflist|2}}


{{Symptoms and signs}}
{{Symptoms and signs}}


{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}


Revision as of 23:16, 23 August 2012

For patient information, click here

Vaginal discharge
MedlinePlus 003158

WikiDoc Resources for Vaginal discharge

Articles

Most recent articles on Vaginal discharge

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Review articles on Vaginal discharge

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Media

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Podcasts & MP3s on Vaginal discharge

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Clinical Trials

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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]; Associate Editor(s)-in-Chief: Shankar Kumar, M.B.B.S. [2]]

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.

Common causes of Vaginal discharge

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)



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

Candida and Chlamydia

Gonorrhea

Trichomonas

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


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