...
Does the history indicate that the difficulty is on penetration? Difficulties on penetration usually point to a vulval or vaginal origin for the problem. In that case, bartholinitis, vulvitis, ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is there persistent or recurring abdominal or pelvic pain? The presence of pain with menorrhagia should make one suspect PID, ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is it purulent? A purulent vaginal discharge suggests nonspecific bacterial vaginitis and gonorrhea.
Is it frothy and yellow? This type of ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Dyspareunia is defined as painful and/or difficult sexual intercourse. There is a large differential requiring detailed history and physical exam. Distinguish primary dyspareunia (dyspareunia occurs from the outset of sexual experience) from... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Painful introduction of the male organ or pain during intercourse are both considered under this title. The mnemonic to use here is MINT. This can then be applied to the anatomic structures as we explore the genital tract.
... 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. Thus, we begin with herpes
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient’s normal menstrual... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
... 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 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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Dyspareunia is genital pain associated with intercourse. It may be mild, or it may be severe enough to affect enjoyment of intercourse. Dyspareunia is commonly associated with physical problems; less commonly, with a... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... A major obstacle to sexual enjoyment, dyspareunia is painful or difficult coitus. Although most sexually active women occasionally experience mild dyspareunia, persistent or... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient’s normal menstrual flow; menstrual blood loss is 80 ml or more per monthly... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Menorrhagia
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Albert A. Meyer
Approach Menorrhagia, defined as excessive bleeding from the uterus, is a common gynecologic complaint. Each year, 200,000 American women undergo hysterectomy for... History (2) ... Physical examination ... Testing ... Diagnostic assessment (3)
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Vaginal Discharge
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... 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 ... History (2) ... Physical examination (4) ... Testing (5) ... Diagnostic assessment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
❑ Physiologic discharge
❑ Candida vulvovaginitis
❑ Bacterial vaginosis ... Diagnostic Approach ... Clinical Findings
... 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 degree, by the vulvar... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...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 Physiologic ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient's normal menstrual flow; menstrual... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... 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 degree, by the vulvar glands... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Painful introduction of the male organ or pain during intercourse are
both considered under this title. The mnemonic to use here is MINT.
This can then be applied to the anatomic structures as we... 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... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
