Vaginal discharge resident survival guide: Difference between revisions
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{{Family tree | | | | | | | |!| | | | | }} | {{Family tree | | | | | | | |!| | | | | }} | ||
{{Family tree | | | | | | | B01 | | | |B01= Take complete history}} | {{Family tree | | | | | | | B01 | | | |B01= Take complete history}} | ||
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{{Family tree | | | | | | | B02 | | | |B02=<div style="float: left; text-align: left; "> '''Record the [[Vital signs|vitals]]:'''<br> | {{Family tree | | | | | | | B02 | | | |B02=<div style="float: left; text-align: left; "> '''Record the [[Vital signs|vitals]]:'''<br> | ||
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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?❑[[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?❑[[Contraceptive]] history for example [[oral]] [[contraceptives]], [[intrauterine device]]<br><br></div>}} | ||
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{{Family tree | | | | | | | B01 | | | |B01= Ask the following questions about colour, appearance of the discharge }} | |||
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Revision as of 11:27, 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
- Bacterial vaginosisis mostly happens during the reproductive age of women characterized by a shift in the vaginal flora from the dominant Lactobacillus to a polymicrobial flora.[1]
- Vaginal yeast infection
Sexually transmitted infection
- Chlamydia,sexually transmitted infections.
- Gonorrhea,sexually transmitted infections[2]
- Herpes[3]
- Trichomoniasis,a parasitic infection typically contracted and caused by having unprotected sex[4]
Non-infective causes
Physiological:
Non-physiological:
- Foreign body vaginitis
- Cervical cancer[2]
- Vaginal cancer
- Diabetes
- Drug side effect as antibiotic or steroid use as, Amoxicillin and Clavulanic Acid , Butoconazole Vaginal Cream , Clotrimazole , Combined oral contraceptive pill, Estradiol Topical , Estradiol Transdermal , Estrogen and Progestin (Oral Contraceptives) ,Estrogen Injection , Estrogen Vaginal , Etonogestrel and Ethinyl Estradiol Vaginal Ring , Glatiramer Injection ,Hormone replacement therapy (trans), Letrozole, Leuprolide , Medroxyprogesterone Injection , Metronidazole Topical ,Miconazole , Nafarelin , Natalizumab injection , Norelgestromin and ethinyl estradiol transdermal system , Ospemifene, Oxcarbazepine , Pramipexole, Progesterone, Tamoxifen , Terconazole Vaginal Cream, Vaginal Suppositories , Toremifene, Zoledronic Acid Injection
- Gynaeocological causes:
- Atrophic vaginitis or senile vaginitis, it as a result of estrogen deficiency lead to vaginal dryness, itching, irritation, discharge, and dyspareunia.[5]
- Vulval dermatitis
- Cervical ectopy
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 colour, appearance of the discharge | |||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Dos
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ 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). - ↑ 2.0 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). - ↑ 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). - ↑ 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). - ↑ Hainer BL, Gibson MV (2011). "Vaginitis". Am Fam Physician. 83 (7): 807–15. PMID 21524046.