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Approach to vaginal discharge - Coggle Diagram
Approach to vaginal discharge
Differential Diagnosis
Trichimoniasis
Bacterial vaginosis
Gonorrhea
Chlymadia
Link Title
Herpes simplex
candidiasis
Examination
Vital signs ,GPE , inspection of genetalia , speculum and bimnual exam :
high vaginal swab , endocervical swab
History
Assess risk factors , Hx of STI, Immunocompromised states , recent antibiotics
color, consistenct ,odor
recent change in sexual history, contraceptive methods, or hygeine practices
onset and duration
intermenstrual , post coital bleeding
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Management
Antifungals, local oral intrvaginal
antibiotics
Hygience , avoidance of douches , safe sexs
antiparasitics
Follow up /referral
Ask for resolution of symptoms , Examination , test for cures for certain STIs reitration for safe sexs, advice for cervical screening , vaccination for HPV as age appropriate