Transcript 3_Syndromes - bloodhounds Incorporated

Syndromes
Vaginal Discharge
• Most of the time,
vaginal discharge is
normal.
• The amount and odor
can vary
• Discharge is usually
clear to milky white
depending on the
time of the menstrual
cycle
Vaginal Discharge
• Vaginal discharge is a common complaint
– Increase is vaginal discharge may be due to
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Trichomoniasis
Genital Herpes
Gonorrhea
Chlamydia
Vaginal Discharge
• The three major causes of vaginal
discharge during the reproductive years
– Bacterial vaginosis
– Candidiasis
– Trichomoniasis
• This is the only one that is transferred by sexual
activity
Bacterial Vaginosis
• Bacterial vaginosis is a mild infection of
the vagina caused by bacteria
• An increased likelihood of bacterial
infection can be due to
– Multiple sex partners
– Douching
Bacterial Vaginosis
• Symptoms
– An excessive grayish white vaginal discharge,
unlike normal vaginal discharge. Some
women describe the discharge as "yellow.”
– A bothersome "fishy" odor, which is usually
worse after sex (intercourse).
– Irritation
• Treatment
– Antibiotics
Bacterial Vaginosis
• During Examination
– Presence of Absence of
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Vaginal ulceration
Erythema
Color and consistency of the discharge
Appearance of the cervix
– Mucous may suggest gonorrhea or chlamydia
Bacterial Vaginosis
• Laboratory Tests
– Vaginal pH
• Normally <4.5
• Elevated with Vaginosis
– Whiff Test
• Potassium Chloride
added to vaginal slide =
fishy odor
Urethral Discharge
• Characterized by
abnormal purulent or
mucoid secretions
from the penis, or
rarely from the female
urethra
– In males there is also
dysuria