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Are there abnormalities on pelvic examination? A tubo-ovarian mass on pelvic examination should suggest salpingo-oophoritis, endometriosis with a chocolate cyst, or ectopic pregnancy. Perhaps the uterus is ... 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 there a rash? The presence of a rash would suggest eczema, herpes simplex, folliculitis, scabies ... 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 diagnose
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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.
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Dysmenorrhea, or painful menstruation, is one of the most common gynecologic complaints. It is divided into two broad categories: Primary dysmenorrhea refers to severe uterine cramping during ovulatory menses and in the absence of demonstrable pelvic disease; secondary dysmenorrhea is... 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 transmitted disease is identified, a search for... 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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Visualizing the parts of the female reproductive system (see figure below), one can systematically formulate a differential diagnosis of this common malady.
DYSMENORRHEA
At the cervix,
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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 gonorrhea and nonspecific
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... Dysmenorrhea — painful menstruation — affects more than 50% of menstruating women; in fact, it's the leading cause of lost time from school and work among women of childbearing age. Dysmenorrhea may involve sharp, intermittent pain or dull, aching pain. It's usually... History and physical examination ... Medical causes ... Other causes ... Special considerations ... 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
Ask the... 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Candidiasis (also called candidosis or moniliasis) is usually a mild, superficial fungal infection caused by the genus Candida. It usually infects the nails (onychomycosis), skin (diaper rash), or mucous membranes, especially the oropharynx (thrush),... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Chronic mucocutaneous candidiasis is a form of candidiasis (moniliasis) that usually develops during the first year of life but occasionally occurs as late as the 20s. Affecting males and females, it’s characterized by repeated infection with Candida albicans... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Dysmenorrhea — painful menstruation — is the most common gynecologic complaint and a leading cause of absenteeism from school (affecting 10% of high school girls each month) and work (causing about 140 million lost work hours annually). Dysmenorrhea can occur... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Vulvovaginitis is inflammation of the vulva (vulvitis) and vagina (vaginitis). Because of the proximity of these two structures, inflammation of one occasionally causes inflammation of the other. Vulvovaginitis may occur at any age and affects most... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Dysmenorrhea—painful menstruation—affects more than 50% of menstruating women; in fact, it’s the leading cause of lost time from school and work among women of childbearing age. Dysmenorrhea may involve sharp, intermittent pain or dull,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric 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 examination
Ask the... 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 profuse because of... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Albert A. Meyer
Approach Dysmenorrhea can be defined as a complaint of pain experienced during or immediately before menstruation. Up to 90% of women experience this symptom for some part in their lives (1). Risk factors include the... History (2) ... Physical examination ... Laboratory testing (3) ... Diagnostic assessment (1)
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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; bloody, watery, or frank pus.... 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).
... History (2) ... Physical examination (4) ... Testing (5) ... Diagnostic assessment
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... Differential Overview
❑ Physiologic discharge
❑ Candida vulvovaginitis
❑ Bacterial vaginosis
❑ Trichomonas vaginitis
❑ Atrophic... Diagnostic Approach ... Clinical Findings
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... Also called candidosis and moniliasis, candidiasis is usually a mild, superficial fungal infection caused by the Candida genus. The infection usually affects the nails (onychomycosis), skin (diaper rash), or mucous membranes, especially the oropharynx (thrush), vagina ... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Inflammation of the vulva (vulvitis) and vagina (vaginitis) is called vulvovaginitis. Because of the proximity of these two structures, inflammation of one usually precipitates inflammation of the other. Vulvovaginitis may occur at any age and affects most females at some... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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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... 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 profuse due... 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 Vulvovaginitis ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Dysmenorrhea—painful menstruation—affects more than 50% of menstruating women; in fact, it's the leading cause of lost time from school and work among women of childbearing age. Dysmenorrhea may involve sharp, intermittent pain or dull,... 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 infection.
History and physical ... 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 estrogenic stimulation and... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
Visualizing the parts of the female reproductive system (see figure),
one can systematically formulate a differential diagnosis of this common
malady. At the cervix, stenosis, cervical polyps, and other neoplasms
may obstruct the egress of blood... Pictures
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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 ... 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... Pictures
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... Author:
Madan Dharmar, MD
What to Do - Gather Appropriate Data
Adolescence is an important developmental period with regard to sexuality
andsexualbehavior.Adolescentsareatincreasedriskforsexuallytransmitted ... Suggested Readings
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... Theoklis Zaoutis, MD Candidiasis - BASICS Candidiasis - description A spectrum of diseases caused by Candida species (yeasts): In immunocompetent children, most candidiasis is manifested as ... Candidiasis - DIAGNOSIS ... Candidiasis - TREATMENT ... Candidiasis - FOLLOW UP ... Candidiasis - bibliography ... Candidiasis - CODES ... Candidiasis - FAQ
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When women experience the signs of a yeast infection, they often prefer to self-medicate rather than check with their doctor. But the symptoms are...
While up to 75 percent of women will experience a yeast infection once in their lifetime, an unlucky 5 percent will have frequent, recurring...
Yeast infections are a common problem for women and some say pregnancy increases your risk. Many women feel they know enough about the condition to...
Are yeast infections sexually transmitted? Many women think so, but in fact yeast infections almost always appear on their own, with or without...