Vaginal Discharge Solution

Vaginal Discharge Solution

Amazing Holistic Method For Naturally Curing Excessive And Colored Vaginal Discharge And Embarrassing Odor. With This Amazing Report, You Will: Quickly and easily achieve normal vaginal discharge. Cure excessive vaginal discharge forever with no future relapses of symptoms. Save money on buying items that you used to cover up and mask your abnormal vaginal discharge like sprays, medications, tampons and panty liners. Naturally cleanse your vagina in just a few simple steps. Understand what causes excessive, colored vaginal discharge and odors in the first place. Feel secure and confident with a romantic partner. Rejuvenate your body physically, emotionally and spiritually.

Vaginal Discharge Solution Overview

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Vaginal Discharge

A 25-year-old patient presents to the gynecologist's office complaining of a whitish vaginal discharge. The patient states that this is the first time that she has this complaint, and it is associated with vaginal pruritus. There is no significant medical history, and the patient is not on oral contraception. Visual inspection. The vulva and vagina should be examined for evidence of an inflam- S OoK matory response as well as the gross characteristics of the vaginal discharge seen on Vaginal pH. Normal vaginal pH is an acidic < 4.5. Identification of the pH is easily performed using pH-dependent Nitrazine paper. Normal vaginal discharge leaves the paper yellow, whereas an elevated pH turns the paper dark. Microscopic examination. Two drops of the vaginal discharge are placed on a glass slide with a drop of normal saline placed on one, and a drop of KOH placed on the other. The two sites are covered with cover slips, and examined under the microscope for WBC, pseudohyphae, and...

Overview of Urine Studies

When a urine specimen must be free from contamination, the midstream or clean-catch collection procedure is necessary. After thorough handwashing, the patient is instructed to cleanse the genital area with an antiseptic wipe, to void a small amount of urine into the toilet, to stop voiding midstream, and to collect a urine sample by voiding into the collection container. The specimen container must be free of feces, mucus, or vaginal discharge.

Infections of the Genital Tract in Women

The endocervix is the most common site of infection with C. trachomatis in women. In many cases, the infection may be completely asymptomatic. However, those with symptoms may complain of vaginal discharge, dysuria, or lower abdominal pain. On examination, the cervix may appear normal or may be severely eroded with follicular hypertrophy and an associated mucopurulent endocervical discharge. Likewise, chlamydial infection of the urethra in women may either be asymptomatic or associated with urethral symptoms such as dysuria and frequency. C. trachomatis has been implicated in over 60 of cases of the so-called acute urethral syndrome in women. The infection is characterized by the presence of urethral symptoms together with a sterile pyuria.27

Uncomplicated Genital Tract and Ocular Infections in Adults

Doxycycline and ofloxacin are contraindicated during pregnancy and lactation, and the safety and efficacy of azithromycin under these circumstances have not been fully established. Erythromycin remains the treatment of choice for chlamydial infections in pregnancy. However, many women are unable to tolerate the 500-mg-four-times-daily regimen and a lower dose (250 mg four times daily) for a longer period (14 days) may be acceptable. Alternatives include amoxicillin 500 mg orally three times daily for 7 days and clindamycin 450 mg orally four times daily for 14 days. Clinical presentations in which the likelihood of chlamydial infection is high enough to warrant inclusion of presumptive treatment for C. trachomatis include acute urethritis, pelvic inflammatory disease (PID), epididymitis in young men, and cases of vaginal discharge in women at risk of an STD. Syndromic case management, which is advocated by the World Health Organization for the management of STDs,57 particularly in...

Hiv Transmission In Pregnancy

A 28-year-old sexually active woman presents widi crampy lower abdominal pain, yellowish vaginal discharge, and general malaise. VS low-grade fever. PE lower abdominal tenderness bimanual pelvic exam demonstrates purulent vaginal discharge, bilateral adnexal tenderness, and pain on

Trichomoniasis Trichomonas vaginalis

A 15-year-old presents to her physician because she has a yellow, foul-smelling vaginal discharge. On physical examination she is noted to have a strawberry cervix. Presentation. The patient may complain of pruritus and a foul-smelling vaginal discharge. Males are usually asymptomatic. Physical Examination. There is a frothy vaginal discharge. Cervical hemorrhages (strawberry cervix) may be seen.

Parasitic Infections Trichomonas

The primary symptom of Trichomonas vaginitis is severe pruritus, irritation, and, often, vulvar dysuria, accompanied by a grossly and microscopically purulent vaginal discharge. Sometimes, pelvic pain is present. The severity of disease varies widely, with some patients exhibiting fairly mild symptoms and signs. The infected male partner is usually asymptomatic. A physical examination reveals deep redness of the introitus, vagina, and cervix, classically but nonspecifically and unpredictably producing a strawberry cervix.'' This finding is characterized by a red cervix covered with monomorphous, discrete, bright-red, tiny papules. Vaginal secretions are most often described as yellow and frothy. Microscopically, vaginal secretions show small (about the size of white blood cells), rapidly moving, teardrop-shaped, flagellate organisms that quickly lose motility and distinctive shape as they cool. In addition, very large numbers of neutrophils are present and lactobacilli are absent,...

Staphylococcus aureus

By toxic shock syndrome toxin produced by S. aureus. Initial signs of infection may include myalgias, fevers, vomiting, and diarrhea. Patient status can decline within a matter of hours into hypovolemic shock and a dark red sunburn rash. On exam, vaginal inflammation and vaginal discharge are present. Local cultures

Microscopic Analysis of Urine

Urine Micro Cope Cells

The presence of bacteria in urine sediment may indicate infection or inflammation. The most common form of yeast found in urine sediment is Candida albicans, which is associated with yeast infection. Trichomonas vaginalis, shown in Figure 6-3, is a protozoan identified in urine sediment. It causes trichomoniasis, a sexually transmitted disease characterized by a copious, foul-smelling vaginal discharge.

Inflammatory Dermatoses Eczema

Desquamative Inflammatory Vaginitis

Vulvo-vaginal-gingival LP principally affects the inner aspects of the labia minora, vestibule, and vagina the lesions are painful and itchy. Patients will complain of dyspareunia, dysuria and, if there is vaginal involvement, an increased vaginal discharge, and postcoital bleeding. Clinically, the vulvar lesions are eroded and have a distinctive fine white lacy border. The anal margin may also

Obstetrics and Gynecology

The answer is b. (Fauci, 14 e, pp 915-919, 926.) The patient most likely has pelvic inflammatory disease (PID) due to Neisseria gonorrhoeae. Infections typically occur during menstruation, and patients complain of abdominal pain and yellow mucopurulent vaginal discharge. Spread of the gonococci (or, in some cases, Chlamydia) into the upper abdomen may cause a perihepatitis or Fitz-Hugh-Curtis syndrome, and patients will complain of upper abdominal pain. Acute inflammation of Bartholin's gland (an infected duct) would be visible in the labium majus. Chancroid is due to Haemophilus ducreyi patients typically present with a painful ulcer that bleeds easily. 458. The answer is b. (Cunningham, 20 e, pp 746-751, 755-757, 765-767.) Placenta previa and abruptio placenta are the two most common causes of third-trimester bleeding. Placenta previa is abnormal implantation of placenta near or at the cervical os, and may be total, partial, marginal, or low-lying. Risk factors for placenta...

Xylocaine Infiltration For Marsupialization

A 29-year-old G0 comes to your office complaining of a heavy vaginal discharge for the past 2 weeks. The patient describes the discharge as thin in consistency and of a grayish white color. She has also noticed a slight fishy vaginal odor that seems to have started with the appearance of the discharge. She denies any vaginal or vulvar prutitus or burning. She admits to being sexually active in the past, but has not had intercourse during the past year. She denies a history of any sexually transmitted diseases. She is currently on no medications with the exception of her birth control pills. Last month she took a course of amoxicillin for treatment of a sinusitis. On physical exam, the vulva appears normal and the cervix is not inflamed. There is a copious thin whitish discharge in the vaginal vault that is also adherent to the vaginal walls. Wet smear indicates the presence of clue cells.

Vulvovaginal Infections

Medical Vulva Development

The initial infection results from transmission through the respiratory tract from inoculation through respiratory tract secretions, respiratory contact with airborne droplets, or by direct contact or inhalation of aerosols from vesicular fluid of skin lesions. By the time the rash appears, the virus has cleared from the respiratory tract and transmission to others is unlikely. The rash of varicella is generalized and pruritic, with individual lesions advancing from macules to papules to vesicular lesions before crusting (Fig. 1). The rash first appears on the scalp and progresses to the trunk and extremities. The majority of lesions remain on the trunk in a centripetal distribution. Lesions can also be seen on the mucous membranes of the oropharynx, respiratory tract, vagina, conjunctiva, and cornea. Although mucous membrane lesions also develop as vesicles, the fragile mucous membrane blister roof, lacking a stratum corneum, is shed almost as soon as it forms, leaving round...

Clinical Manifestations

The incubation period for gonorrhea is longer in women than in men but is usually less than 10 days. The clinical presentation is highly variable and includes vaginal discharge secondary to mucopurulent cervicitis (MPC), abnormal menstrual bleeding, and anorectal discomfort.25,32 Dysuria is also a common symptom of gonococcal infection in women. It is often mistaken for acute bacterial cystitis and should be suspected in young, sexually active women with pyuria in the absence of bacteria. Women who present with dysuria should have a pelvic examination as well as examination of the urethra for inflammatory exudate, and visualization of the cervix for signs of endocervical involvement and specimen collection.

Physical Examination

A microscopic evaluation of vaginal discharge with both saline and KOH is essential in every woman with a vulvar or vaginal complaint. Scraping of the vulvar skin and inspection with KOH prep are also useful for possible dermatophyte or tinea infection. Inspection of the nongenital skin and oral cavity is also important.

Desmoid Tumor

She has a history of vaginal spotting off and on for the past two weeks and has been using an IUD for the past three years. She has no history of vaginal discharge and no urinary symptoms, and her previous menstrual history is normal. She has had multiple bouts of pelvic inflammatory disease.

Sexual Abuse

A 3-year-old girl presents with green vaginal discharge. Microscopic examination of the discharge revealed Gram-negative intracellular diplococci. Physical Examination. The patient many times has no abnormal physical findings. The physician should look for evidence of trauma and vaginal discharge. The physician should check for bite marks and bruising. The abdominal examination in a girl may show pregnancy. Although not applicable to all cases, the hymenal opening is usually less than 5 mm in girls younger than 5 years of age thereafter, an additional opening of 1 mm y may be added, up to 9 years of age. The hymenal opening size is not considered diagnostic. In boys, sexual assault is usually associated with a transitory redness of the penis, although bite marks and other evidence of trauma may also be seen.

Bacterial Vaginitis

Vaginal Discharge Strep

Bacterial vaginitis can occur in any age group, but group B Streptococcal infection is found primarily in the well-estrogenized vagina, and alpha hemolytic Streptococcus is seen most often in prepubertal girls, sometimes in association with perianal streptococcal dermatitis. Bacterial vaginitis is most often characterized by irritation, burning, and dyspareunia, although some patients describe itching. Women often report a yellow vaginal discharge, but odor is not prominent. Vestibular and vaginal erythema is usual, and a yellow or yellow green vaginal discharge is present (Fig. 15). The vaginal pH is high, and a microscopic examination of a wet mount shows a high proportion of immature epithelial cells and a striking increase in neutrophils. Lactobacilli are generally absent. In the event of a group B Streptococcal infection, chains of cocci are often evident (Fig. 16). (penicillin V potassium, amoxicillin, or ampicillin) orally. Patients should be reevaluated while on medication for...

Bacterial Vaginosis

Bacterial vaginosis is polymicrobial in origin and caused by changes in the normal vaginal flora. It primarily affects reproductive-age women and is associated with sexual activity, although transmission is not fully understood. Risk factors include multiple sexual partners, a new sexual partner, non-white race, previous pregnancy, intrauterine device, and use of douches. There is a reduction of hydrogen peroxide-producing lactobacilli and an increased growth of Gardnerella vaginalis and gram-negative anaerobes such as Mycoplasma hominis, Prevotella species, Peptostreptococcus species, Bacteroides, and Mobiluncus. An increased production of amines and alkalinization of the vaginal discharge create the characteristic fishy odor. Clinically, patients complain of an increased volume of foul-smelling vaginal discharge that is off-white, thin, and homogenous. Many women remain asymptomatic. Uncommonly, patients describe accompanying irritation. Vaginal secretions are characterized by a...

Review Questions

A 32-year-old woman comes to the physician because of vaginal bleeding after sexual intercourse. She has also had a foul-smelling vaginal discharge for the past few months. She has not been to the doctor in ages and has never had a pelvic examination or a Pap smear. Pelvic examination shows a friable, beefy red cervix. A biopsy is taken and sent to pathology for histologic examination. The results come back as invasive squamous-cell carcinoma. Which of the following viruses is most likely associated with this patient's disease