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Is it purulent? A purulent vaginal discharge suggests nonspecific bacterial vaginitis and gonorrhea.
Is it frothy and yellow? This type of discharge is very often due to trichomoniasis vaginitis.
Is it cheesy and associated with ... DIAGNOSTIC WORKUP
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Is it tender? A tender vulval or vaginal mass would suggest vulvitis, hematoma, acute bartholinitis, or urethral caruncle.
Is it reducible? A reducible vulval or vaginal mass would suggest pudendal hernia, varicocele, cystocele, ... DIAGNOSTIC WORKUP
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Is the lesion or are surrounding lymph nodes tender? The presence of tenderness of the lesion or the surrounding lymph nodes would suggest chancroid, lymphogranuloma venereum, herpes genitalis, and carcinoma. On the other hand, if the ... DIAGNOSTIC WORKUP
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Vaginal discharge is a common complaint that is often accompanied by concerns about the presence of a sexually transmitted disease. Candida may present with extremely intense, often unbearable itch. Whenever one sexually transmitted disease is identified, a search for all... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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The pubertal vaginal flora is primarily lactobacillus, and the vagina has an acidic pH with a thick, estrogenized epithelium acting as a protective mechanism. The prepubertal vagina is less estrogenized and has a thinner epithelium, predisposing it to irritation. Any... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Again, the female genital tract can be infected by all sizes of organisms, thus a useful method for recalling the causes of a purulent vaginal discharge is to work from the smallest to the largest organism. Thus, we begin with herpes progenitalis and proceed to gonorrhea and nonspecific
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... Common in women of childbearing age, physiologic vaginal discharge is mucoid, clear or white, nonbloody, and odorless. Produced by the cervical mucosa and, to a lesser degree, by the vulvar glands, this discharge may occasionally be scant or profuse due to estrogenic stimulation... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Chlamydial infections — including urethritis in men and urethritis and cervicitis in women — are a group of infections that are linked to one organism: Chlamydia trachomatis. Trachoma inclusion conjunctivitis, a chlamydial infection that seldom... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Common in women of childbearing age, a physiologic vaginal discharge is mucoid, clear or white, nonbloody, and odorless. Produced by the cervical mucosa and, to a lesser degree, by the vulvar glands, this discharge may occasionally be scant or profuse... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Albert A. Meyer
Vaginal symptoms, especially discharge, are responsible for 10% of all physician visits by women. Each year, approximately 12 million women in the United States are treated for vaginitis (1).
Approach An irritation or... History (2) ... Physical examination (4) ... Testing (5) ... Diagnostic assessment
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... Differential Overview
❑ Physiologic discharge
❑ Candida vulvovaginitis
❑ Bacterial vaginosis
❑ Trichomonas vaginitis
❑... Diagnostic Approach ... Clinical Findings
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... Urethritis in men and urethritis and cervicitis in women make up a group of infections that are linked to one organism: Chlamydia trachomatis. These chlamydial infections are the most common sexually transmitted diseases in the United States, affecting an... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Common in women of childbearing age, physiologic vaginal discharge is mucoid, clear or white, nonbloody, and odorless. Produced by the cervical mucosa and, to a lesser degree, by the vulvar glands, this discharge may occasionally be scant or profuse due to... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Vaginal discharge is abnormal except forphysiologic leukorrhea, which occurs during the first few weeksof life and with the onset of puberty. Principal Causes of Vaginal Discharge Prepubertalonset Physiologicleukorrhea Vulvovaginitis ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Common in women of childbearing age, physiologic vaginal discharge is mucoid, clear or white, nonbloody, and odorless. Produced by the cervical mucosa and, to a lesser degree, by the vulvar glands, this discharge may occasionally be scant or profuse due to... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Again, the female genital tract can be infected by all sizes of
organisms, thus a useful method for recalling the causes of a purulent
vaginal discharge is to work from the smallest to the largest organism.
Thus, we begin with herpes progenitalis and proceed to... Pictures
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... Sumit Bhargava, MD Chlamydial Infections - BASICS Chlamydial Infections - description Chlamydiae are obligate intracellular bacteria responsible for pulmonary infections, ocular trachoma, STDs, and infections of the genital tract in the pediatric... Chlamydial Infections - DIAGNOSIS ... Chlamydial Infections - FOLLOW UP ... Chlamydial Infections - bibliography ... Chlamydial Infections - CODES ... Chlamydial Infections - FAQ
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... Marianne Ruby, MDGary A. Emmett, MD Vaginitis - BASICS Vaginitis - description Vaginitis is an inflammatory process of the vagina often caused by infection, but also caused by foreign bodies and other irritants. ... Vaginitis - DIAGNOSIS ... Vaginitis - TREATMENT ... Vaginitis - FOLLOW UP ... Vaginitis - bibliography ... Vaginitis - CODES ... Vaginitis - FAQ
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Join our panel of experts for a discussion of gonorrhea, a sexually transmitted disease that may affect as many as 2 million people each year in the...
The first step in effective treatment for vulvovaginal candidiasis is correct diagnosis to rule out bacterial vaginitis and establish species of...
Appropriate treatment for vulvovaginal candidiasis depends on a variety of factors including severity of symptoms, species of yeast and patient...
Chlamydia is often refered to, and joked about, as "the clap". But for the 3 million people who are infected with it each year in the U.S. alone,...