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Is it purulent? A purulent vaginal discharge suggests nonspecific bacterial vaginitis and gonorrhea.
Is it frothy and yellow? This type ... DIAGNOSTIC WORKUP
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... Itching at the anus is almost always due to anal or rectal conditions, the most likely of which is hemorrhoids. If there is frequent passage of bright red blood in the stool along with a painful bowel movement, one should look for an anal fissure... DIAGNOSTIC WORKUP
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Is the pruritus associated with a generalized rash? Almost every generalized rash may be associated with pruritus, but the most common ones are urticaria, dermatitis herpetiformis, eczema, ... DIAGNOSTIC WORKUP
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Is there a vaginal discharge? The presence of a vaginal discharge should suggest candidiasis, trichomoniasis vaginitis, and bacterial vaginitis.
Is ... 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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Pruritus is the desire to scratch that is induced by unpleasant cutaneous sensations caused by histamines and other endogenous substances. Atopic dermatitis is one of the most common childhood skin... 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,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The differential diagnosis of pruritus is best developed by anatomy. Local conditions such as bites and parasitic infestations (e.g., scabies, hookworms, and schistosomiasis) usually reveal an obvious lesion. Generalized skin
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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
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... Commonly provoking scratching to gain relief, this unpleasant itching sensation affects the skin, certain mucous membranes, and the eyes. Most severe at night, pruritus may be exacerbated by... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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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,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Pruritus with Diagnostic Skin Lesions
Infestation (especially scabies, lice, fleas)
Xerosis (dry skin; for example, secondary to low humidity or excessive bathing)
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... Pruritus ani is perianal itching, irritation, or superficial burning. This disorder is more common in males than in females and occurs in adults and children. ... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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Pruritus
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Commonly provoking scratching to gain relief, this unpleasant itching sensation affects the skin, certain mucous membranes, and the eyes. Most severe at night, pruritus may be exacerbated by increased skin... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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Pruritus
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Beverly A. VonderPool
Approach Pruritus, a sense of the need to scratch, is an unpleasant cutaneous sensation that has numerous causes. A practical approach is to look for causes with the highest... History ... Physical examination ... Diagnostic tests ... 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... Approach ... History (2) ... Physical examination (4) ... Testing (5) ... Diagnostic assessment
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... Differential Overview
❑ Physiologic discharge
❑ Candida vulvovaginitis
❑ Bacterial vaginosis
❑... Diagnostic Approach ... Clinical Findings
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... Commonly provoking scratching to gain relief, this unpleasant itching sensation affects the skin, certain mucous membranes, and the eyes. Most severe at night, pruritus may be... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric 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... 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 ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Commonly provoking scratching to gain relief, this unpleasant itching sensation affects the skin, certain mucous membranes, and the eyes. Most severe at night, pruritus may be exacerbated by increased skin... 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, this discharge may... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
The differential diagnosis of pruritus is best developed by
anatomy. Local conditions such as bites and parasitic infestations
(e.g., scabies, hookworms, and schistosomiasis) usually reveal an obvious ... 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... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
