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DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS

Notes

VAGINAL DISCHARGE

Physiological normal vaginal discharge (midcycle) increased estrogen states, e.g. pregnancy, BCP

Infectious candida vulvovaginitis (Candida albicans) trichomonas vaginitis (Trichomonas vaginalis) bacterial vaginosis (Gardnerella vaginalis) chlamydia gonorrhea bartholinitis or Bartholin abscess PID

Neoplastic VAIN vaginal squamous cell ca invasive cervical ca fallopian tube ca

Other allergic/irritative vaginitis foreign body atrophic vaginitis enterovaginal fistulae

VAGINAL/VULVAR PRURITUS

Infectious Candida vulvovaginitis Trichomonas vaginitis Herpes genitalis (HSV)

Other postmenopausal vaginitis or atrophic vaginitis chemical vaginitis hyperplastic dystrophy lichen sclerosis vulvar ca

GENITAL ULCERATION

Infectious p a i n f u l h e r p e s g e n i t a l i s ( H S V ) c h a n c r o i d ( H e m o p h i l i s d u c r e y i ) p a i n l e s s s y p h i l i s ( T r e p o n e m a p a l l i d u m ) g r a n u l o m a i n g u i n a l e ( C a l y m m a t o b a c t e r i u m g r a n u l o m a t i s ) l y m p h o g r a n u l o m a v e n e r e u m ( C . t r a c h o m a t i s - s e r o t y p e s L 1 - L 3 )

Malignant vulvar ca

Other trauma foreign body Bechet disease (autoimmune disease resulting in oral and genital ulcerations with associated superficial ocular lesions)

Gynecology 4

MCCQE 2000 Review Notes and Lecture Series

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