Discharge
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Discharge is an exudate draining from the wounds. It can be internal or external. It is formed from the serum.
Classification
Serous
(resembling serum)
- Serous drainage looks clear or straw colored.
- It arises from protein and fluid in the tissue.
- It supports the healing process and contains protein, electrolytes, sugar and white cells.
- Serous occurs as a normal process of healing.
Sanguinous
(related to blood)
- Sanguinous is the red drainage from trauma to a blood vessel.
- This may occur with the cleaning of a wound or disturbance to wound.
- The consistency appears thin and watery with sanguinous fluid.
Serosanguinous
- Serosanguinous fluid appears pink due to a small number of blood cells mixing with serous drainage.
- It has a consistency of thin and watery.
- Serosanguinous fluid appears normally in the healing of wounds.
Purulent
- Purulent discharge is yellow, gray or green drainage.
- It results when infection sets in.
- The discharge fluid has infectious microbes, white cells and other inflammatory cells.
- The volume of the exudates increases when an infection occurs.
Mucopurulent
- Mucopurulent discharge is also called pus
- Pus is a whitish-yellow or yellow substance produced during inflammatory responses of the body.
- It can be noticed in regions of pyogenic bacterial infections.
- Pus consists of a thin, protein-rich fluid, known as liquor puris, and dead neutrophils (white blood cells), which are part of the body's innate immune response.
Hemorrhagic
- Hemorrhagic discharge indicates a leaking blood vessel putting out blood.
- The consistency is thicker than sanguinous fluid.
- It may require assistance to control bleeding.