Vaginal Discharge Flashcards

1
Q

Key History

A
Amount, Color, Consistency, Odor (ACCO)
Duration
Vaginal burning
Pain
Pruritus
Sexual activity
Onset of LMP
Contraceptives
Tampons
Douches
Hx of similar symptoms
Hx of STDs
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2
Q

Physical Exam

A

Vital Signs
Abdominal Exam
Pelvic Exam

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3
Q

Work-Up

A
Wet mount
KOH prep
"Whiff test"
pH of vaginal fluid
Cervical Cultures
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4
Q

Thin
Gray/white
Foul smelling

A

Bacterial vaginosis

  • Vaginitis- Candidal
  • Vaginitis- Trichomonal
  • Cervicitis (Chlamydia, gonorrhea)
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5
Q
Thick
White
Cottage cheese-like
Odorless
Vaginal itching
A

Vaginitis- Candidal

  • Bacterial vaginosis
  • Vaginitis- Trichomonal
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6
Q

Profuse & Frothy
Greenish
Malodorous
Intense vaginal itching

A

Vaginitis- Trichomonal

  • Vaginitis- Candidal
  • Bacterial vaginosis
  • Cervicitis (Chlamydia, gonorrhea)
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