Vaginal discharge resident survival guide: Difference between revisions

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❑ Age of menarche <br><br>❑Last [[menstrual]] period<br><br>❑Is the menstrual flow normal? How many pads she has to use in a day? <br><br>❑Is there any foul smell or colour change?<br><br>❑How many days does the menstrual period stay?<br><br>❑[[Contraceptive]] history for example [[oral]] [[contraceptives]], [[intrauterine device]]<br><br></div>}}
❑ Age of menarche <br><br>❑Last [[menstrual]] period<br><br>❑Is the menstrual flow normal? How many pads she has to use in a day? <br><br>❑Is there any foul smell or colour change?<br><br>❑How many days does the [[menstrual]] period stay?<br><br>❑[[Contraceptive]] history for example [[oral]] [[contraceptives]], [[intrauterine device]]<br><br></div>}}
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❑ Ask about medical and [[drug]] history including recent [[antibiotic]] use and type of [[contraceptive]] use <br><br>❑ Assess for the possibility of a [[foreign body]] in situ <br><br>❑Ask if there was any [[surgery]] or instrumentation to the genital region recently <br><br>❑Is there any other health conditions like [[Diabetes Mellitus]]?<br><br>❑ Is there any history of [[fever]], [[lower abdominal pain]]?<br><br></div> }}
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Revision as of 12:00, 26 January 2021

Vaginal discharge Resident Survival Guide Microchapters
Overview
Causes
Diagnosis
Treatment
Dos
Don'ts

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rinky Agnes Botleroo, M.B.B.S.

Synonyms and keywords:

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Non-sexually transmitted infection
Sexually transmitted infection
Non-infective causes
Physiological:
Non-physiological:

Diagnosis

Shown below is an algorithm summarizing the diagnosis of Vaginal discharge.

 
 
 
 
 
 
Patient with history of Vaginal discharge
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Take complete history
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask the following questions about menstrual history :

❑ Age of menarche

❑Last menstrual period

❑Is the menstrual flow normal? How many pads she has to use in a day?

❑Is there any foul smell or colour change?

❑How many days does the menstrual period stay?

Contraceptive history for example oral contraceptives, intrauterine device

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask the following questions about general health :

❑ Ask about medical and drug history including recent antibiotic use and type of contraceptive use

❑ Assess for the possibility of a foreign body in situ

❑Ask if there was any surgery or instrumentation to the genital region recently

❑Is there any other health conditions like Diabetes Mellitus?

❑ Is there any history of fever, lower abdominal pain?

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask the following questions about colour, appearance of the discharge
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Dos

  • The use of topical azole formulations can weaken latex condoms and diaphragms. This risk should be mentioned to the woman prior to starting these medications.
  • Referral to a gynaecologist should be considered if there is a history of recent instrumentation or surgery of the genital tract, retained foreign body, cervical ectopy or polyp, or suspicion of tumour on examination; or in women with symptoms of upper genital tract infection or recurrent vulvovaginal candida infections, pregnant women with abnormal vaginal discharge, or women who have failed routine treatment strategies.

Don'ts

  • Patient should be advised to avoid tight-fitting synthetic clothing.
  • Patient should be told to avoid local irritants such as perfumed products and soap gels, and vaginal douching.
  • There is no clear and consistent evidence across currently published studies regarding the role of probiotics for vaginal health.

References

  1. Cettl L, Dvorak J, Felkel H, Feuereisl R (1979). "Results of simulation of non-homogeneous ventilatory mechanics for a patient-computer arrangement". Int J Biomed Comput. 10 (1): 67–74. doi:10.1016/0020-7101(79)90042-4. PMID http://www.ncbi.nlm.nih.gov/pmc/articles/pmc478688 Check |pmid= value (help).
  2. 2.0 2.1 Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMID https://doi.org/10.1016/j.ogrm.2016.08.002 Check |pmid= value (help).
  3. Wathne B, Holst E, Hovelius B, Mårdh PA (1994). "Vaginal discharge--comparison of clinical, laboratory and microbiological findings". Acta Obstet Gynecol Scand. 73 (10): 802–8. doi:10.3109/00016349409072509. PMID https://pubmed.ncbi.nlm.nih.gov/7817733 Check |pmid= value (help).
  4. Spence D, Melville C (2007). "Vaginal discharge". BMJ. 335 (7630): 1147–51. doi:10.1136/bmj.39378.633287.80. PMC 2099568. PMID https://pubmed.ncbi.nlm.nih.gov/18048541 Check |pmid= value (help).
  5. Hainer BL, Gibson MV (2011). "Vaginitis". Am Fam Physician. 83 (7): 807–15. PMID 21524046.


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