More Discharge

Female Reproductive System & Breast

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This sexually active lady has presented with an abnormal vaginal discharge.\n\nWhile a sexually transmitted infection (STI) is highly likely, non-sexually transmitted infections (NSTI) and non-infectious causes should not be ignored either.\n\nThe important STIs giving rise to a vaginal discharge include trichomoniasis, gonococcal cervicitis and chlamydial cervicitis.\n\nRelatively few non-infectious conditions can cause a vaginal discharge - these include retained foreign bodies (i.e. tampons), chemical irritation, and cervical ectropion. The pelvic examination in this patient excludes all of these.\n\nNote that the discharge in cervicitis is usually not offensive, while purulent endocervical exudates and endocervical bleeding are also typically p"}]}

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