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    2 Vaginal Discharge ALGORITME PDF

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    Fikri Putro
    Vaginal discharge can arise from the vagina or cervix, so it is important to examine the cervix. A patient presenting with vaginal discharge, itching, or soreness should be asked about abnormal bleeding or pelvic pain. Tests for chlamydia, gonorrhea, and infections like bacterial vaginosis or candidiasis should be performed. Examination findings may indicate conditions like cervicitis, vulvitis, or vaginitis. Treatments depend on presumptive diagnosis and may include antibiotics or antifungals. Follow up is needed to check resolution of symptoms and treatment effectiveness.

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    2 Vaginal Discharge ALGORITME PDF

    Uploaded by

    Fikri Putro
    137 views1 page
    Vaginal discharge can arise from the vagina or cervix, so it is important to examine the cervix. A patient presenting with vaginal discharge, itching, or soreness should be asked about abnormal bleeding or pelvic pain. Tests for chlamydia, gonorrhea, and infections like bacterial vaginosis or candidiasis should be performed. Examination findings may indicate conditions like cervicitis, vulvitis, or vaginitis. Treatments depend on presumptive diagnosis and may include antibiotics or antifungals. Follow up is needed to check resolution of symptoms and treatment effectiveness.

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    Vaginal discharge can arise from the vagina or cervix, so it is important to examine the cervix. A patient presenting with vaginal discharge, itching, or soreness should be asked about abnormal bleeding or pelvic pain. Tests for chlamydia, gonorrhea, and infections like bacterial vaginosis or candidiasis should be performed. Examination findings may indicate conditions like cervicitis, vulvitis, or vaginitis. Treatments depend on presumptive diagnosis and may include antibiotics or antifungals. Follow up is needed to check resolution of symptoms and treatment effectiveness.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    137 views1 page

    2 Vaginal Discharge ALGORITME PDF

    Uploaded by

    Fikri Putro
    Vaginal discharge can arise from the vagina or cervix, so it is important to examine the cervix. A patient presenting with vaginal discharge, itching, or soreness should be asked about abnormal bleeding or pelvic pain. Tests for chlamydia, gonorrhea, and infections like bacterial vaginosis or candidiasis should be performed. Examination findings may indicate conditions like cervicitis, vulvitis, or vaginitis. Treatments depend on presumptive diagnosis and may include antibiotics or antifungals. Follow up is needed to check resolution of symptoms and treatment effectiveness.

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    of 1

    Vaginal Discharge

    MANAGEMENT SUMMARY
    Vaginal discharge can arise from either the vagina and/or the cervix. It is therefore important to visualise the cervix.

    Patient complains of vaginal discharge +/- itching / soreness / malodour.


    Note: Also ask about abnormal bleeding / pelvic discomfort / dyspareunia.
    Consider possibility of retained tampons / foreign body.

    Recommended tests
    Endo-cervical swab for chlamydia.
    Endo-cervical swab for gonorrhoea.
    High vaginal swab for candida, bacterial vaginosis and trichomoniasis.

    Examination findings Examination findings Examination findings Examination findings


    Cervicitis mucopurulent discharge Vulvitis/vaginitis. NO vaginitis or vulvitis. Offensive purulent frothy vaginal
    on cervix or easily induced bleeding. Thick white curd-like vaginal Fishy smelling white/grey adherent discharge +/
    Bimanual if c/o pelvic pain (see PID discharge. vaginal discharge. Vulvitis/vaginitis.
    guideline).
    Abormal cervix: Refer for colposcopy.

    Treatment Treatment Treatment Treatment


    Presumptive chlamydia +/- Presumptive candidiasis. Presumptive bacterial vaginosis. Presumptive trichomoniasis.
    gonorrhoea. Topical or oral antifungal such as Metronidazole 400mg twice daily for Metronidazole 2g stat.
    Azithromycin 1g stat plus specific clotrimazole or fluconazole. 7 days.
    treatment for gonorrhoea if a contact
    of gonorrhoea (see gonorrhoea
    guideline).

    Follow-up
    Check results and resolution of symptoms.
    If positive results for chlamydia, gonorrhoea or trichomoniasis ensure appropriate treatment and partner notification.
    If negative results and symptoms persist consult with a sexual health specialist.

    Further guideline information www.nzshs.org or phone the local sexual health service.

    This Best Practice Guide has been produced by NZSHS, and is adapted from the CMDHB Best Practice Guideline.
    Every effort has been taken to ensure that the information in this guideline is correct at the time of publishing (June 2012).
    Produced with funding by the Ministry of Health

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