Discharge

Question 1

vulvovaginitis

Answer 1

most common gynaecological problem in pre-pubertal age

low levels of oestrogen between birth and puberty

vaginal mucosa is thin and alkaline so less resistant to bacteria

symptoms: discharge on undergarments, external genitalia is red and inflamed
treatment: reassure, maintain good hygiene, wear cotton undergarment

Question 2

atrophic vaginitis

Answer 2

blood stained dsicharge

dry, thin, atrophic vaginal mucosa rubs against undergarment and causes bleeding and staining

Question 3

candidiasis

Answer 3

vulval candidiasis- red and oedematous labium with white spongy areas

treated with clotrimazole pessaries

tx for chronic: 1 week beforee and after mentsturatoin and continued for six months

Question 4

ectropion

Answer 4

non itchy clear vaginal discharge
common among pill users
columnar epithelium
spread over the transformation zone

Question 5

TV

Answer 5

frothy, must smell
intense itching
soreness of vagin
cervix has multiple small haemorrhage areas
strawberry tongue

tx: metronidazole 400mg twice a day for seven days