Vaginal discharge

Jump to navigation Jump to search

For patient information, click here

Vaginal discharge
MedlinePlus 003158

WikiDoc Resources for Vaginal discharge

Articles

Most recent articles on Vaginal discharge

Most cited articles on Vaginal discharge

Review articles on Vaginal discharge

Articles on Vaginal discharge in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Vaginal discharge

Images of Vaginal discharge

Photos of Vaginal discharge

Podcasts & MP3s on Vaginal discharge

Videos on Vaginal discharge

Evidence Based Medicine

Cochrane Collaboration on Vaginal discharge

Bandolier on Vaginal discharge

TRIP on Vaginal discharge

Clinical Trials

Ongoing Trials on Vaginal discharge at Clinical Trials.gov

Trial results on Vaginal discharge

Clinical Trials on Vaginal discharge at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Vaginal discharge

NICE Guidance on Vaginal discharge

NHS PRODIGY Guidance

FDA on Vaginal discharge

CDC on Vaginal discharge

Books

Books on Vaginal discharge

News

Vaginal discharge in the news

Be alerted to news on Vaginal discharge

News trends on Vaginal discharge

Commentary

Blogs on Vaginal discharge

Definitions

Definitions of Vaginal discharge

Patient Resources / Community

Patient resources on Vaginal discharge

Discussion groups on Vaginal discharge

Patient Handouts on Vaginal discharge

Directions to Hospitals Treating Vaginal discharge

Risk calculators and risk factors for Vaginal discharge

Healthcare Provider Resources

Symptoms of Vaginal discharge

Causes & Risk Factors for Vaginal discharge

Diagnostic studies for Vaginal discharge

Treatment of Vaginal discharge

Continuing Medical Education (CME)

CME Programs on Vaginal discharge

International

Vaginal discharge en Espanol

Vaginal discharge en Francais

Business

Vaginal discharge in the Marketplace

Patents on Vaginal discharge

Experimental / Informatics

List of terms related to Vaginal discharge

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Vaginal discharge is a common patient complaint that is paired with anxiety regarding sexually transmitted diseases. If a STD is detected, a search for all other STDs should be done. Advise the infected patient to inform all sexual partners of their diagnosis.

Laboratory Findings

Initial tests include:

Other Diagnostic Studies

Type pH Discharge Odor Wet Mount
Trich >4.5 yellow-green, copious present motile, flagellated
BV >4.5 white-grey fishy clue cells
Candida <4.5 white, curd-like none pseudo-hyphae
GC mucopurulent varies PMNs
A.V. thin,gray,watery none few epithelial cells

Complete Differential Diagnosis of the Causes of ...

(By organ system)

Cardiovascular No underlying causes
Chemical / poisoning No underlying causes
Dermatologic Scabies
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease No underlying causes
Musculoskeletal / Ortho No underlying causes
Neurologic No underlying causes
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy No underlying causes
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Dental No underlying causes
Miscellaneous No underlying causes

Differential Diagnosis of Causes of Vaginal discharge

Causes include; [1] [2]

Physiologic

  • Discharge is common, especially mid cycle and premenstrually
  • Common in patients that use oral contraceptives
  • Color, odor or consistancy change require an evaluation
  • Pregnancy results in an incerase in discharge

Cervicitis
Sexually Transmitted Disease

Bacterial Vaginosis

  • Fishy Odor
  • Not an STD
  • Preterm delivery during pregancy risk elevated

Alteration of normal vaginal flora and/or inflammatory response

Foreign body vaginitis
Noninfectious irritant/allergic contact vaginitis
Vaginal trauma Puberty

Other

  • Retain wet mount and KOH of discharge is necessary
  • Discharge PH

Treatment

See most recent CDC guidelines for all STD's

Acute Pharmacotherapies

Bacterial Vaginosis

Candida and Chlamydia

Gonorrhea

Trichomonas

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs

Template:SIB

Template:WikiDoc Sources