Vaginal discharge: Difference between revisions
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== 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== | ||
===Common Causes=== | |||
* [[Bacterial vaginosis]] | * [[Bacterial vaginosis]] | ||
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* [[Vaginal cancer]] | * [[Vaginal cancer]] | ||
=== | ===Causes by Organ System=== | ||
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=== | ===Causes in Alphabetical Order === | ||
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Revision as of 14:11, 25 April 2013
For patient information, click here
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Most recent articles on Vaginal discharge Most cited articles on Vaginal discharge |
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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.
Causes
Common Causes
Causes by Organ System
Causes 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