RT Book, Section A1 Murtagh, John SR Print(0) ID 1124413874 T1 | V | T2 Murtagh's General Practice Companion Handbook, 6e YR 2019 FD 2019 PB McGraw-Hill Education PP Sydney, Australia SN 9781743760048 LK murtagh.mhmedical.com/content.aspx?aid=1124413874 RD 2024/04/18 AB Table Graphic Jump LocationTable V1Vaginal discharge: diagnostic strategy model (modified)View Table||Download (.pdf)Table V1Vaginal discharge: diagnostic strategy model (modified)Q. Probability diagnosisA. Normal physiological discharge Vaginitisbacterial vaginosis 40–50%candidiasis 20–30%trichomonas 10–20%Q. Serious disorders not to be missedA. Neoplasiacarcinomafistulas STIs/PID (i.e. cervicitis)gonorrhoeaChlamydia Sexual abuse, esp. children Tampon toxic shock syndrome (staphylococcal or strep infection)Q. Pitfalls (often missed)A. Chemical vaginitis (e.g. perfumes) Retained foreign objects (e.g. tampons, IUCD) Endometriosis (brownish discharge) Ectopic pregnancy (‘prune juice’ discharge) Poor toilet hygiene Genital herpes (possible) Papilloma virus infection Latex allergy Atrophic vaginitis Herpes simplex: types 1 and 2Q. MasqueradesA. Diabetes