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5. How to diagnosis based on the scenario ?

What you should cover ?


1. Characteristics of the
discharge What you should examination ?
2. Any associated 1. Abdominal palpation
symptomps 2. Inspect the vulva for
3. Sexual history discharge
4. Contraceptive use 3. Bimanual pelvic
5. Concurrent medications examination
and previous treatment 4. Speculum examination
6. Pregnancy
7. Medical conditions

1. Rice A, Werdany M, Hadoura E, Mahmood T. Vaginal discharge . OBSTETRICS, GYNAECOLOGY AND REPRODUCTIVE MEDICINE. Elsevier .2016 .
http://dx.doi.org/ 10.1016/j.ogrm.2016.08.002
2. Spence D, Melville C. Clinical review “ Vaginal discharge “ . The BMJ . doi:10.1136/bmj.39378.633287.80 . BMJ 2007;335:1147-51
3. Fahami R, Practice “ abnormal vaginal discharge “. The BMJ. doi: 10.1136/bmj.f4975 . BMJ 2013;347:f4975
Vaginal swab :
1. High vaginal swab
2. Endocervical swab
3. pH testing
4. Microscopy
5. Gram stain
6. Culture
7. NAAT (nucleic acid amplification tests)

Rice A, Werdany M, Hadoura E, Mahmood T. Vaginal discharge . OBSTETRICS, GYNAECOLOGY AND REPRODUCTIVE MEDICINE. Elsevier .2016 .
http://dx.doi.org/ 10.1016/j.ogrm.2016.08.002