... 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 diagnose
Chlamydia
infection
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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 ... 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 incontinence, internal ... 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... 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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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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 discharge. However, one should also consider other etiologic agents (
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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
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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 petrous bone, the inner ear, or the cerebrospinal fluid.
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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 MINT to the
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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 MINT and a few other conditions that might otherwise be overlooked
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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
Ask the patient... 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 scant or profuse due to estrogenic stimulation and changes... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... 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 examination
Ask the patient when he... 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 discharge may occasionally be scant or... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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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, yellowish, or white; mucopurulent or serous... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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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 ... 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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... 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
Ask the patient when he first noticed... 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 be scant or... 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 ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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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 infection.
History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... 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 and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
...
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... Pictures
... READ EXCERPTS »
...
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... Pictures
... READ EXCERPTS »
...
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... Pictures
... READ EXCERPTS »
...
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 discharge. However, one ... Pictures
... READ EXCERPTS »
...
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, and a
few other conditions... Pictures
... READ EXCERPTS »
... Stephen A. Zderic, MDMichele Clement, MD (4th Edition) Urethral Prolapse - BASICS Urethral Prolapse - description Circular eversion of the distal urethral mucosa through the external urethral meatus ... Urethral Prolapse - DIAGNOSIS ... Urethral Prolapse - TREATMENT ... Urethral Prolapse - FOLLOW UP ... Urethral Prolapse - bibliography ... Urethral Prolapse - CODES ... Urethral Prolapse - FAQ
... READ EXCERPTS »
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