1/3. vaginitis: case reports and brief review.vaginitis is the most frequently gynecologic diagnosis encountered by physicians who provide primary care to women. Accurate diagnosis can be elusive, complicating treatment. Most experts believe that up to 90% of vaginitis cases are secondary to bacterial vaginosis, vulvo-vaginal candidiasis, and trichomoniasis. The diagnosis of vaginitis is based on the patient's symptoms, the physical examination, the findings of microscopic examination of the wetmount and potassium hydroxide (KOH) preparations, and the results of the pH litmus test. Additional cultures and testing may be needed for difficult-to-diagnose cases.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/3. vaginal discharge in the prepubertal girl.Vaginal discharges are commonly seen in the prepubertal girl. Because of the anatomy of young girls, any offending agents have easy access to the genital area. The discharge can be caused by numerous organisms, including those associated with sexually transmitted disease. Also, chemical and mechanical reactions, as well as poor hygiene on the part of the child, may cause genital irritation. Treatment is based on the historical events and a physical examination that includes cultures of the discharge. The goal is to effectively treat the underlying cause of the discharge, either by initiating proper therapeutic measures or by teaching the child about proper hygiene.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/3. The role of the office laboratory in the diagnosis of vaginitis.In this article, a standardized approach to the evaluation of a patient with vaginitis is presented. The article includes detailed descriptions of specimen collection techniques, slide preparation, and the microscopic examination. In addition, a series of case histories is presented demonstrating how laboratory findings can be interwoven with history and physical findings to provide the correct diagnosis.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |