ODOR

Ask the Following Questions:

1. Is there coma or disturbances of consciousness? The presence of coma or disturbances of consciousness should suggest alcoholism, diabetic acidosis, uremia, and hepatic coma.
2. Is the odor sweet? The presence of a sweet odor to the breath should suggest diabetic acidosis, alcoholism, and maple syrup urine disease.
3. Is the odor unpleasant or foul? The presence of an unpleasant or foul odor should suggest uremia, hepatic coma, anaerobic infections in the mouth or nasopharynx, and isovaleric aciduria.

DIAGNOSTIC WORKUP

Routine laboratory work includes a CBC, urinalysis, chemistry panel, blood alcohol level, and tests for serum acetone and serum amino acids. Urine for chromatography may help pick up certain keto acids. A culture of the mouth, gums, and nasopharynx may be necessary to diagnose anaerobic infections.

Book Source Details

• Book Title: Algorithmic Diagnosis of Symptoms and Signs
• Author(s): R. Douglas Collins
• Year of Publication: 2003
• Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

Other Book Chapters Related to Vaginal discharge

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Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2008 Williams & Wilkins.

More About Causes of Vaginal discharge

• Back to symptom: Vaginal discharge: Introduction (review 138 causes)
• Next Book Extract About Vaginal discharge: ANOSMIA OR UNUSUAL ODORS (Algorithmic Diagnosis of Symptoms and Signs)
• All Book Extracts: All Online Book Extracts for Vaginal discharge

More About This Book: Title: Algorithmic Diagnosis of Symptoms and Signs Authors: R. Douglas Collins Publisher: Lippincott Williams & Wilkins Copyright: 2003 ISBN: 0-7817-3805-9

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