...
Is the discharge unilateral or bilateral? If it is unilateral and watery or bloody, one should look for a neoplasm in the breast. If it is bilateral and milky, one should look for the various conditions ... DIAGNOSTIC WORKUP
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Is it acute? Acute ear discharge suggests acute otitis media with rupture or an otitis externa, especially if it is painful. A chronic discharge would suggest cholesteatoma, chronic ... DIAGNOSTIC WORKUP
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Is it unilateral or bilateral? Unilateral nasal discharge, especially if it is purulent, suggests acute sinusitis, Wegener's granulomatosis, neoplasm, foreign body, and syphilis. If the ... DIAGNOSTIC WORKUP
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Is it mucopurulent or feculent? A mucopurulent discharge suggests an anal fistula, perirectal abscess, proctitis, anal ulcer, or rectal prolapse. A feculent discharge suggests anal ... DIAGNOSTIC WORKUP
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... Most cases of urethral discharge in both males and females are due to gonorrhea or
Chlamydia trachomatis
. When the smear and culture are negative for gonorrhea, a course of tetracycline can be given as a therapeutic trial to
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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 ... DIAGNOSTIC WORKUP
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Otorrhea, or ear discharge, usually results from an inflammatory process in the ear canal, middle ear, or mastoid. A thorough cleaning of the ear canal (with suction if possible) is essential to... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Breast pain (or mastalgia) is a common complaint that can often be diagnosed by a careful history and physical examination. Pain and tenderness may be normal during early... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Penile discharge is a common complaint that requires a thorough history, including a complete and accurate sexual history and a thorough physical examination that includes cultures and evaluation for common sexually... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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The most common cause of eye discharge in pediatric patients is viral conjunctivitis. Many clinicians treat viral conjunctivitis as bacterial conjunctivitis because the similarities in... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Otorrhea often arises from the external ear; in the setting of a nonintact tympanic membrane, the middle and even inner ears may be sources as well. Suctioning the otorrhea out of the canal to visualize the tympanic membrane... 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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The differential diagnosis of a nonbloody discharge of the ear can best be done by using anatomy. Visualize the components of the ear apparatus. A discharge may arise from the external canal, the middle ear, the mastoids and
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... A clear or purulent discharge from the eye is usually due to allergy or infection, but a few notable exceptions exist. In addition to using anatomy to formulate the list of diagnostic possibilities, it is well to apply the mnemonic
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... A purulent discharge from the breast, just like a purulent discharge from any other body orifice, should signify inflammation (mastitis or breast abscess), yet this is not the most
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... With nasal discharge (rhinorrhea and postnasal drip), anatomy is the key. In visualizing the structure from outside in, one encounters the external nares, the choana with the turbinates, the maxillary, ethmoid,
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... Rectal discharges are usually bloody, but the two notable exceptions to this are a ruptured perirectal abscess and an anal fistula (really the end result of the former). Use the mnemonic
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... The differential diagnosis of a weeping skin lesion is covered in the section on rash (see page 446), but certain conditions should be mentioned here. In all nonbloody discharges, infection (usually bacterial) is the most prominent
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... A significant purulent urethral discharge invariably signals the diagnosis of gonorrhea and, until a Gram stain is done, little consideration is given to the other causes of a nonbloody urethral
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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
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... Otorrhea — drainage from the ear — may be bloody (otorrhagia), purulent, clear, or serosanguineous. Its onset, duration, and severity provide clues to the underlying cause. This sign may result from disorders that affect... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Nipple discharge can occur spontaneously or can be elicited by nipple stimulation. It’s characterized as intermittent or constant, unilateral or bilateral, and by color, consistency, and composition. Its incidence... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... This excretion from the urinary meatus may be purulent, mucoid, or thin; sanguineous or clear; and scant or profuse. It usually develops suddenly, most commonly in men with a prostate infection. ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Galactorrhea
Hyperprolactinemia
Normoprolactinemic galactorrhea
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... Usually associated with conjunctivitis, an eye discharge is the excretion of any substance other than tears. This common sign may occur in one or both eyes, producing scant to copious... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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Otorrhea
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Otorrhea—drainage from the ear—may be bloody (otorrhagia), purulent, clear, or serosanguineous. Its onset, duration, and severity provide clues to the underlying cause. This sign may result from disorders that affect the... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Nipple discharge can occur spontaneously or can be elicited by nipple stimulation. It’s characterized as intermittent or constant, unilateral or bilateral, and by color, consistency, and composition. Its incidence... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Urethral discharge from the urinary meatus may be purulent, mucoid, or thin; sanguineous or clear; and scant or profuse. It usually develops suddenly, most commonly in men with a prostate infection.
History and physical ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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Nipple Discharge
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Joyce A. Copeland
Approach The evaluation of a nipple discharge in the nonpregnant female patient helps determine if the cause is physiologic, pathologic, or is a “pseudodischarge... History ... Physical examination ... Testing ... Diagnostic assessment (1,2)
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Urethral Discharge
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... George P.N. Samraj
Discharge from the urethra is a common symptom. The characteristics and the cause of urethral discharge (UD) vary widely. Discharge can be profuse or scanty; clear,... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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Vaginal Discharge
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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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... Approach ... History (2) ... Physical examination (4) ... Testing (5) ... Diagnostic assessment
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... Differential Overview
Breast Mass
❑ Fibrocystic disease
❑ Fibroadenoma
❑ Breast cancer
&... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Ear Pain
❑ Acute otitis media
❑ Acute otitis externa
❑ Eustachian dysfunction ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Common cold
❑ Allergic rhinitis
❑ Vasomotor rhinitis
❑ Nasal polyp ... Clinical Findings
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... Differential Overview
❑ Physiologic discharge
❑ Candida vulvovaginitis
❑ Bacterial vaginosis
❑... Diagnostic Approach ... Clinical Findings
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... Usually associated with conjunctivitis, an eye discharge is the excretion of any substance other than tears. This common sign may occur in one or both eyes, producing scant to copious discharge. The discharge may be purulent, frothy,... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Otorrhea — drainage from the ear — may be bloody (otorrhagia), purulent, clear, or serosanguineous. Its onset, duration, and severity provide clues to the underlying cause. This sign may result from... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Nipple discharge can occur spontaneously or can be elicited by nipple stimulation. It’s characterized as intermittent or constant, as unilateral or bilateral, and by color, consistency, and composition. Its... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Urethral discharge from the urinary meatus may be purulent, mucoid, or thin; sanguineous or clear; and scant or profuse. It usually develops suddenly, most commonly in men with a prostate infection. ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... 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... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Nasal discharge in children is an everydayevent in pediatric practice. Principal Causes of Nasal Discharge Anatomic Choanalatresia /stenosis Adenoid hypertrophy ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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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 ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Usually associated with conjunctivitis, eye discharge is the excretion of a substance other than tears. This common sign may occur in one or both eyes, producing scant to copious discharge... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Otorrhea—drainage from the ear—may be bloody (otorrhagia), purulent, clear, or serosanguineous. Its onset, duration, and severity provide clues to the underlying cause. This sign may result from disorders that affect... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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... Nipple discharge can occur spontaneously or can be elicited by nipple stimulation. It's characterized as intermittent or constant, unilateral or bilateral, and by color, consistency, and composition. Its incidence increases with age... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Urethral discharge is an excretion from the urinary meatus that may be purulent, mucoid, or thin; sanguineous or clear; and scant or profuse. It usually develops suddenly, most commonly in men with a prostate... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
A purulent discharge from the breast, just like a purulent discharge
from any other body orifice, should signify inflammation (mastitis or breast
abscess), yet this is... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
With nasal discharge (rhinorrhea and postnasal drip), anatomy
is the key. In visualizing the structure from outside in, one encounters the
external... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Rectal discharges are usually bloody, but the two notable exceptions to
this are a ruptured perirectal abscess and an anal fistula
(really the end result of the former). Use the mnemonic MINT,... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The differential diagnosis of a weeping skin lesion is covered in the
section on rash , but
certain conditions should be mentioned here. In all nonbloody discharges,
infection
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...
A significant purulent urethral discharge invariably signals the
diagnosis of gonorrhea and, until a Gram stain is done, little consideration
is given to the other causes of a nonbloody... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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. ... Pictures
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...
The differential diagnosis of a nonbloody discharge of the ear can best
be done by using anatomy. Visualize the components of the ear
apparatus. A... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
A clear or purulent discharge from the eye is usually due to allergy or
infection, but a few notable exceptions exist. In addition to using
anatomy to... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
