Vaginal discharge: Difference between revisions
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Revision as of 21:01, 6 February 2013
For patient information, click here
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WikiDoc Resources for Vaginal discharge |
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Articles |
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Most recent articles on Vaginal discharge Most cited articles on Vaginal discharge |
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Media |
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Powerpoint slides on Vaginal discharge |
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Evidence Based Medicine |
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Cochrane Collaboration on Vaginal discharge |
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Clinical Trials |
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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 |
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US National Guidelines Clearinghouse on Vaginal discharge NICE Guidance on Vaginal discharge
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Books |
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News |
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Commentary |
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Definitions |
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Patient Resources / Community |
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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 |
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Causes & Risk Factors for Vaginal discharge |
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Continuing Medical Education (CME) |
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Experimental / Informatics |
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)
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