Discharge history

Question 1

Differentials for discharge

Answer 1

• PID (yellow/green)
• Candida (cottage cheese)
• Bacterial vaginosis (grey, fishy)
• Trichomonas (grey/green)
• Cervical/endometrial cancer (red/brown)

Question 2

Discharge/Sexual history

Answer 2

• Reason for attendance
• Discharge
  
  • Colour
  • Odour
  • Blood
• Associated symptoms
  
  • Pain
    
    • Dysuria
    • Dyspareunia
  • Urinary symptoms
• Menstrual Hx
  
  • LMP
  • Contraception
  • Smear
• Sexual history
  
  • Sexually active?
  • Last sexual intercourse (LSI)
    
    • Condom?
  • Previous sexual partners (last 3 months)
  • Previous STIs
  • Risk assessment for HIV, Hep B/C
    
    • Have you ever been paid for intercourse?
    • Have you ever had intercourse with someone from oversease?
    • Have you ever injected drugs?
• PMH/SH
• DH