Immune System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"In a patient with vaginal discharge, the first step is to determine if it is physiological or pathological in origin.\n\nPhysiological vaginal discharges are typically clear or white, with no offensive odor. Thus, the foul smelling discharge in this patient is most likely pathological.\n\nPathological vaginal discharges can be broadly classified into those arising from non-infectious causes, and those due to infections.\n\nThe list of non-infectious causes includes foreign bodies (such as retained tampons), cervical ectropion and chemical irritation. These are excluded by the pelvic examination in this patient.\n\nWhile several infectious agents may give rise to vaginal discharge, in practice, the majority of cases are due to trichomoniasis, bacter"}]}

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