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==Vaginitis==
__NOTOC__


==Overview==
{{Roseola}}
Vulvovaginitis is a common condition for which women seek medical care accounting for approximately 10 million office visits every year. It is defined as symptoms that cause itching, irritation, burning and abnormal vaginal discharge. The three common causes of vaginal discharge in reproductive age group include: most common being Bacterial Vaginosis followed by Candida vulvovaginitis and Trichomoniasis.
{{CMG}}:{{AE}}{{DAMI}}


==Synopsis==
Diagnosis
{| class="wikitable"
!
!Candida Vulvovaginitis
!Bacterial Vaginosis
!Trichomoniasis
!Atrophic Vaginitis
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|Vaginal pH
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|Wet mount Microscopy
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|10% KOH smear
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|Culture
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|Gold Standard diagnostic test
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|}
Treatment
{| class="wikitable"
!
!Candida Vulvovaginitis
!Bacterial Vaginosis
!Trichomoniasis
!Atrophic Vaginitis
|-
|Medical Therapy
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|Recurrence
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|HIV positive individuals
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|Treatment for partner
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|Pregnant women
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|}
==Symptoms==


{| class="wikitable" style="border: 2; background: none;"
==[[Roseola overview|Overview]]==
|-
! rowspan="2" | Disease
! colspan="6" rowspan="1" | Symptoms
!Examination Findings


|-
==[[Roseola historical perspective|Historical Perspective]]==
! rowspan="1" | Discharge || Dysuria || Vaginal odor || Dyspareunia || Genital skin lesion || Genital pruritus
 
|
==[[Roseola classification|Classification]]==
|-
 
| [[Candida Vulvovaginitis]] ||✔  ||✔ ||✔ || ✔
==[[Roseola pathophysiology|Pathophysiology]]==
||✔  ||✔✔ 
 
|
==[[Roseola causes|Causes]]==
*Vulvar  edema, fissures, excoriations
 
*Thick curdy vaginal discharge
==[[Roseola differential diagnosis|Differentiating Any Disease from other Diseases]]==
|-
 
| [[Bacterial Vaginosis]] ||✔||||✔|||| ||
==[[Roseola epidemiology and demographics|Epidemiology and Demographics]]==
|
 
* Fishy-odor from the [[vagina]]
==[[Roseola risk factors|Risk Factors]]==
* Thin, white/gray homogeneous [[vaginal discharge]]
 
* Lack of significant vulvovaginal inflammation
==[[Roseola screening|Screening]]==
|-
 
| [[Trichomoniasis]] ||✔||✔|| ✔
==[[Roseola natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
|| ✔
 
|| || ✔
==Diagnosis==
|
[[Roseola history and symptoms|History and Symptoms]] | [[Roseola physical examination|Physical Examination]] | [[Roseola laboratory findings|Laboratory Findings]] | [[Roseola electrocardiogram|Electrocardiogram]] | [[Roseola chest x ray|Chest X Ray]] | [[Roseola CT|CT]] | [[Roseola MRI|MRI]] | [[Roseola echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Roseola other imaging findings|Other Imaging Findings]] | [[Roseola other diagnostic studies|Other Diagnostic Studies]]
* Strawberry cervix: petechial haemorrhages on the ectocervix, specific to trichomoniasis
 
* Frothy, mucopurulent, yellow-green or gray vaginal discharge
==Treatment==
|-
[[Roseola medical therapy|Medical Therapy]] | [[Roseola surgery|Surgery]] | [[Roseola primary prevention|Primary Prevention]] | [[Roseola secondary prevention|Secondary Prevention]] | [[Roseola cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Roseola future or investigational therapies|Future or Investigational Therapies]]
| [[Atrophic Vaginitis]] ||✔||✔|| ✔
 
|| ||✔||✔
==Case Studies==
|
[[Roseola case study one|Case #1]]
*Pale and dry vaginal epithelium
*Increased friability of the epithelium with patchy erythema and petechiae
*Sparsity of pubic hair, fusion of the [[labia minora]], narrow and a shortened vagina
|}

Latest revision as of 19:04, 22 May 2017


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]:Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]


Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Any Disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | Chest X Ray | CT | MRI | Echocardiography or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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